Provider Demographics
NPI:1790920965
Name:TAYLOR, JAMES LESLIE (LPC)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:LESLIE
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9238 MADISON BLVD STE 750
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-9164
Mailing Address - Country:US
Mailing Address - Phone:256-724-8880
Mailing Address - Fax:888-951-7515
Practice Address - Street 1:9238 MADISON BLVD STE 750
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758
Practice Address - Country:US
Practice Address - Phone:256-724-8880
Practice Address - Fax:888-951-7515
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2629101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor