Provider Demographics
NPI:1225768351
Name:EURY, TAYLOR CORRINE (LGPC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:CORRINE
Last Name:EURY
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3917 DUNNEL LN
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-3510
Mailing Address - Country:US
Mailing Address - Phone:301-814-6007
Mailing Address - Fax:
Practice Address - Street 1:3917 DUNNEL LN
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-3510
Practice Address - Country:US
Practice Address - Phone:301-814-6007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10676101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health