Provider Demographics
NPI:1710105143
Name:TAYLOR, RICHARD STEVEN (LPC, LMSW)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:STEVEN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPC, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 FAIRWAY DRIVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW PARK
Mailing Address - State:TX
Mailing Address - Zip Code:76087-8891
Mailing Address - Country:US
Mailing Address - Phone:817-319-6590
Mailing Address - Fax:
Practice Address - Street 1:301 FAIRWAY DRIVE
Practice Address - Street 2:
Practice Address - City:WILLOW PARK
Practice Address - State:TX
Practice Address - Zip Code:76087-8891
Practice Address - Country:US
Practice Address - Phone:817-319-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04914101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health