Provider Demographics
NPI:1629414321
Name:TAYLOR, RACHEL ELLEN (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELLEN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ELLEN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:720 BROWNSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LARIMER
Mailing Address - State:PA
Mailing Address - Zip Code:15647-9706
Mailing Address - Country:US
Mailing Address - Phone:724-787-8302
Mailing Address - Fax:721-836-6197
Practice Address - Street 1:113 ALWINE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-3209
Practice Address - Country:US
Practice Address - Phone:724-787-9562
Practice Address - Fax:724-836-6197
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006907101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional