Provider Demographics
NPI:1255005831
Name:PATRICIA TAYLOR P TAYLOR CONSULTING
Entity Type:Organization
Organization Name:PATRICIA TAYLOR P TAYLOR CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:262-207-4130
Mailing Address - Street 1:530 E HUNT HWY STE 103
Mailing Address - Street 2:#488
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-6582
Mailing Address - Country:US
Mailing Address - Phone:262-207-4130
Mailing Address - Fax:262-364-2049
Practice Address - Street 1:530 E HUNT HWY STE 103
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85143-6582
Practice Address - Country:US
Practice Address - Phone:262-207-4130
Practice Address - Fax:262-364-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-06
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health