Provider Demographics
NPI:1619334653
Name:EVERS, TAYLOR ERIN
Entity Type:Individual
Prefix:MISS
First Name:TAYLOR
Middle Name:ERIN
Last Name:EVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1037 S EVANSTON WAY APT 308
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3784
Mailing Address - Country:US
Mailing Address - Phone:720-732-0741
Mailing Address - Fax:
Practice Address - Street 1:1037 S EVANSTON WAY APT 308
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3784
Practice Address - Country:US
Practice Address - Phone:720-732-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health