Provider Demographics
NPI:1013208719
Name:TAYLOR, EHT-EL (LMHC, LMFT)
Entity Type:Individual
Prefix:
First Name:EHT-EL
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 PARKVIEW DR
Mailing Address - Street 2:APT 827
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2979
Mailing Address - Country:US
Mailing Address - Phone:305-331-6891
Mailing Address - Fax:
Practice Address - Street 1:1990 NE 163RD ST
Practice Address - Street 2:SUITE 102
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-4854
Practice Address - Country:US
Practice Address - Phone:305-945-9906
Practice Address - Fax:305-945-9907
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-28
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist