Provider Demographics
NPI:1114407517
Name:LIGGINS, TAYLOR KATHRYN (LCPC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:KATHRYN
Last Name:LIGGINS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:KATHRYN
Other - Last Name:PENDERGAST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:9091 SNOWDEN RIVER PKWY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046
Mailing Address - Country:US
Mailing Address - Phone:717-855-3855
Mailing Address - Fax:
Practice Address - Street 1:9030 ROUTE 108
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045
Practice Address - Country:US
Practice Address - Phone:443-860-0947
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-16
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health