Provider Demographics
NPI:1891071049
Name:TAYLOR, ASHLIE LEANNE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ASHLIE
Middle Name:LEANNE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1210 W SAGINAW ST
Mailing Address - Street 2:SUBSTANCE ABUSE UNIT
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1927
Mailing Address - Country:US
Mailing Address - Phone:517-364-7740
Mailing Address - Fax:517-364-7744
Practice Address - Street 1:1210 W SAGINAW ST
Practice Address - Street 2:SUBSTANCE ABUSE UNIT
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48915-1927
Practice Address - Country:US
Practice Address - Phone:517-364-7740
Practice Address - Fax:517-364-7744
Is Sole Proprietor?:No
Enumeration Date:2011-11-01
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010893911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical