Provider Demographics
NPI:1710666946
Name:TAYLOR, ALESHA LYNN (AMFT)
Entity Type:Individual
Prefix:MS
First Name:ALESHA
Middle Name:LYNN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1991 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-1940
Mailing Address - Country:US
Mailing Address - Phone:520-302-8537
Mailing Address - Fax:
Practice Address - Street 1:3051 W MAPLE LOOP DR STE 300
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-6552
Practice Address - Country:US
Practice Address - Phone:520-302-8537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13305100-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist