Provider Demographics
NPI:1821786898
Name:AMADOR, TAYLOR (QMHP-CS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:AMADOR
Suffix:
Gender:F
Credentials:QMHP-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5105 LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77023-3232
Mailing Address - Country:US
Mailing Address - Phone:832-840-5685
Mailing Address - Fax:
Practice Address - Street 1:3302 CANAL ST STE 32
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77003-1832
Practice Address - Country:US
Practice Address - Phone:832-387-4368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-27
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator