Provider Demographics
NPI:1366658791
Name:TAYLOR, MERIANN (LLMFT, DMIN)
Entity Type:Individual
Prefix:
First Name:MERIANN
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LLMFT, DMIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3077 COURTZ ISLE #8
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532
Mailing Address - Country:US
Mailing Address - Phone:810-206-6336
Mailing Address - Fax:
Practice Address - Street 1:3077 COURTZ ISLE #8
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532
Practice Address - Country:US
Practice Address - Phone:810-206-6336
Practice Address - Fax:212-996-5689
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106H00000X
MI4151000414106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist