Provider Demographics
NPI:1427599505
Name:L'AMOUREUX, TAYLER MARIE KELLY (LICSW)
Entity Type:Individual
Prefix:MS
First Name:TAYLER
Middle Name:MARIE KELLY
Last Name:L'AMOUREUX
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:TAYLER
Other - Middle Name:MARIE
Other - Last Name:KELLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 1ST ST SW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-284-2511
Mailing Address - Fax:
Practice Address - Street 1:1911 NICOLLET AVE STE 210
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55403-3747
Practice Address - Country:US
Practice Address - Phone:612-442-3620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN235071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical