Doctor Name: | MS. TERRY LYNNA TAYLOR |
NPI Number: | 1689759243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 3399 |
Business Practice Address: | 2960 Dory Hill Rd Black Hawk, CO - 804228771 |
Business Phone Number: | 3036019222 |
Business Fax Number: | 3032583563 |
Mailing Address: | Po Box 451, ROLLINSVILLE |
State: | CO |
Postal Code: | 804740451 |
Phone Number: | 3036019222 |
Fax Number: | 3032583563 |
NPI Enumeration Date: | 10/25/2006 |
NPI Last Update Date: | 10/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3399 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |