Provider Demographics
NPI:1760031025
Name:ZURASKI, TAYLOR M (LPC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:M
Last Name:ZURASKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5841 W 75TH ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-4505
Mailing Address - Country:US
Mailing Address - Phone:630-391-2266
Mailing Address - Fax:
Practice Address - Street 1:6420 W 95TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1434
Practice Address - Country:US
Practice Address - Phone:913-826-3150
Practice Address - Fax:913-826-3136
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional