Provider Demographics
NPI:1891476131
Name:CHRISTIAN, TAYLER MORGAN (LSCSW)
Entity Type:Individual
Prefix:
First Name:TAYLER
Middle Name:MORGAN
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-3701
Mailing Address - Country:US
Mailing Address - Phone:479-750-6632
Mailing Address - Fax:
Practice Address - Street 1:225 S WALNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-2250
Practice Address - Country:US
Practice Address - Phone:913-244-0648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS060881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty