Provider Demographics
NPI:1457000291
Name:TAYLOR, CHELSEA THERIA (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:THERIA
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 SEATON CIR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36116-7202
Mailing Address - Country:US
Mailing Address - Phone:334-462-9505
Mailing Address - Fax:
Practice Address - Street 1:712 SEATON CIR
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-7202
Practice Address - Country:US
Practice Address - Phone:334-462-9505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4611101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor