Provider Demographics
NPI:1831126929
Name:TAYLOR, MAUREEN DENISE (EDD, NCC, LPC)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:DENISE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:EDD, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 N NEW BALLAS RD
Mailing Address - Street 2:SUITE 222
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-6800
Mailing Address - Country:US
Mailing Address - Phone:314-994-0743
Mailing Address - Fax:314-994-7024
Practice Address - Street 1:443 N NEW BALLAS RD
Practice Address - Street 2:SUITE 222
Practice Address - City:CREVE COEUR
Practice Address - State:MO
Practice Address - Zip Code:63141-6800
Practice Address - Country:US
Practice Address - Phone:314-994-0743
Practice Address - Fax:314-994-7024
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO001814101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health