Provider Demographics
NPI:1891043428
Name:TAYLOR, HALEY D (LCPC)
Entity Type:Individual
Prefix:MS
First Name:HALEY
Middle Name:D
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8967 YELLOW BRICK RD
Mailing Address - Street 2:SUITE A AND B
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-2303
Mailing Address - Country:US
Mailing Address - Phone:443-388-1706
Mailing Address - Fax:410-780-5205
Practice Address - Street 1:8967 YELLOW BRICK RD
Practice Address - Street 2:SUITE A AND B
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-2303
Practice Address - Country:US
Practice Address - Phone:443-388-1706
Practice Address - Fax:410-780-5205
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP4240101YM0800X
MDLC5471101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health