Provider Demographics
NPI:1689900300
Name:CARMICHAEL, TAYLOR LEIGH (MA, BS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:LEIGH
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:MA, BS
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4580 W MINERAL DR
Mailing Address - Street 2:1434
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-2571
Mailing Address - Country:US
Mailing Address - Phone:214-212-8660
Mailing Address - Fax:
Practice Address - Street 1:4535 E COLFAX AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-1101
Practice Address - Country:US
Practice Address - Phone:303-504-1232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health