Provider Demographics
NPI:1902223464
Name:TAYLOR CONSULTANTS, LLC
Entity Type:Organization
Organization Name:TAYLOR CONSULTANTS, LLC
Other - Org Name:GREAT KIDS & AWESOME ADULTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRIOTA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:717-870-3293
Mailing Address - Street 1:3104 SEABROOK VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:JOHNS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29455-6088
Mailing Address - Country:US
Mailing Address - Phone:717-870-3293
Mailing Address - Fax:843-350-8430
Practice Address - Street 1:4925 LACROSS RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-6512
Practice Address - Country:US
Practice Address - Phone:717-870-3293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-23
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCCM1026Medicaid
SCWQ0027Medicaid
SCBN1052Medicaid