Provider Demographics
NPI:1366029670
Name:SANTA CRUZ, TAYLOR LEIGH (MS, NCC, LBS, LPC)
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:LEIGH
Last Name:SANTA CRUZ
Suffix:
Gender:F
Credentials:MS, NCC, LBS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 E LANCASTER AVE STE 1A
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2719
Mailing Address - Country:US
Mailing Address - Phone:484-237-1853
Mailing Address - Fax:484-237-1426
Practice Address - Street 1:721 E LANCASTER AVE STE 1A
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2719
Practice Address - Country:US
Practice Address - Phone:484-237-1853
Practice Address - Fax:484-237-1426
Is Sole Proprietor?:No
Enumeration Date:2021-03-24
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016809101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional