Provider Demographics
NPI:1548779192
Name:HEATH, TAYLOR (LPCC; MS)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:HEATH
Suffix:
Gender:F
Credentials:LPCC; MS
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:HUINKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10567 165TH ST W
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-3523
Mailing Address - Country:US
Mailing Address - Phone:952-767-9374
Mailing Address - Fax:
Practice Address - Street 1:10567 165TH ST W
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-3523
Practice Address - Country:US
Practice Address - Phone:952-767-9374
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional