Provider Demographics
NPI:1275588642
Name:TAYLOR, NANCY KAY (BS, CAC III)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KAY
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:BS, CAC III
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 S SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80232-8028
Mailing Address - Country:US
Mailing Address - Phone:303-936-1790
Mailing Address - Fax:303-936-9006
Practice Address - Street 1:1800 S SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80232-8000
Practice Address - Country:US
Practice Address - Phone:303-936-1790
Practice Address - Fax:303-936-9006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3481101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)