Provider Demographics
NPI:1265660658
Name:TAYLOR, ERIN M
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:M
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 GRANT AVE
Mailing Address - Street 2:
Mailing Address - City:LK IN THE HLS
Mailing Address - State:IL
Mailing Address - Zip Code:60156-3354
Mailing Address - Country:US
Mailing Address - Phone:602-684-1925
Mailing Address - Fax:
Practice Address - Street 1:7 GRANT AVE
Practice Address - Street 2:
Practice Address - City:LK IN THE HLS
Practice Address - State:IL
Practice Address - Zip Code:60156-3354
Practice Address - Country:US
Practice Address - Phone:602-684-1925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health