Provider Demographics
NPI:1275302929
Name:TAYLOR, ARIEL D
Entity Type:Individual
Prefix:
First Name:ARIEL
Middle Name:D
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 1:3 PARKLANE BLVD STE 730
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2506
Mailing Address - Country:US
Mailing Address - Phone:313-794-5653
Mailing Address - Fax:
Practice Address - Street 1:3 PARKLANE BLVD STE 730
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2506
Practice Address - Country:US
Practice Address - Phone:313-794-5653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker