Provider Demographics
NPI:1922082551
Name:TAYLOR-KUITU, ELIZABETH MANON (LPCC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MANON
Last Name:TAYLOR-KUITU
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 W BROADWAY
Mailing Address - Street 2:STE 1
Mailing Address - City:HOBBS
Mailing Address - State:NM
Mailing Address - Zip Code:88240
Mailing Address - Country:US
Mailing Address - Phone:505-393-0692
Mailing Address - Fax:505-393-0796
Practice Address - Street 1:215 W BROADWAY
Practice Address - Street 2:STE 1
Practice Address - City:HOBBS
Practice Address - State:NM
Practice Address - Zip Code:88240
Practice Address - Country:US
Practice Address - Phone:505-393-0692
Practice Address - Fax:505-393-0796
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health