Provider Demographics
NPI:1194455220
Name:TAGLIENTI, TAYLOR (MS, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:TAGLIENTI
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1317 S 97TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-2628
Mailing Address - Country:US
Mailing Address - Phone:414-213-8584
Mailing Address - Fax:
Practice Address - Street 1:106 W SEEBOTH ST STE 101
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-4329
Practice Address - Country:US
Practice Address - Phone:414-378-5379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5343-226101Y00000X
WI10932-125101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor