| Organization Name: | KRISTIE TAYLOR-ZIMMEL LCSW LLC |
| NPI Number: | 1598994568 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KRISTIE TAYLOR-ZIMMEL (OWNER) |
| Mailing Address: | 82 Main St Bridgton |
| State: | ME US |
| Postal Code: | 040091128 |
| Phone Number: | 2073184603 |
| Fax Number: | 2078394704 |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC11435 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |