Provider Demographics
NPI:1518002047
Name:TAYLOR, BELINDA G (MED, LPC)
Entity Type:Individual
Prefix:
First Name:BELINDA
Middle Name:G
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 S ROBERTS ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79102-4330
Mailing Address - Country:US
Mailing Address - Phone:806-372-1092
Mailing Address - Fax:806-372-7868
Practice Address - Street 1:1615 S ROBERTS ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79102-4330
Practice Address - Country:US
Practice Address - Phone:806-372-1092
Practice Address - Fax:806-372-7868
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12345101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX83811LOtherBLUECROSS BLUESHIELD