Provider Demographics
NPI:1558433441
Name:TAYLOR, LYNNE (MS NCC)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MS NCC
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:T
Other - Last Name:CLOUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS NCC
Mailing Address - Street 1:5439 STATE ROUTE 374
Mailing Address - Street 2:
Mailing Address - City:MERRILL
Mailing Address - State:NY
Mailing Address - Zip Code:12955-3040
Mailing Address - Country:US
Mailing Address - Phone:518-425-6805
Mailing Address - Fax:
Practice Address - Street 1:209 PARK STREET
Practice Address - Street 2:CITIZENS ADVOCATE INC.
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953
Practice Address - Country:US
Practice Address - Phone:518-483-3261
Practice Address - Fax:518-483-3383
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
200120OtherNATIONAL CERTIFIED COUNSE