Provider Demographics
NPI:1609295609
Name:DENNIS L TAYLOR SR PC
Entity Type:Organization
Organization Name:DENNIS L TAYLOR SR PC
Other - Org Name:TAYLOR COUNSELING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-621-2525
Mailing Address - Street 1:1240 1ST ST N STE 107
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9034
Mailing Address - Country:US
Mailing Address - Phone:205-621-2525
Mailing Address - Fax:205-621-2595
Practice Address - Street 1:1240 1ST ST N STE 107
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-9034
Practice Address - Country:US
Practice Address - Phone:205-621-2525
Practice Address - Fax:205-621-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty