Provider Demographics
NPI:1922510841
Name:ANTOINETTE C TAYLOR COUNSELING LLC
Entity Type:Organization
Organization Name:ANTOINETTE C TAYLOR COUNSELING LLC
Other - Org Name:ACT NOW COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:502-437-5375
Mailing Address - Street 1:1082 DOTLAND CIR
Mailing Address - Street 2:
Mailing Address - City:SHELBYVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40065-9475
Mailing Address - Country:US
Mailing Address - Phone:502-437-5375
Mailing Address - Fax:502-437-5375
Practice Address - Street 1:1082 DOTLAND CIR
Practice Address - Street 2:
Practice Address - City:SHELBYVILLE
Practice Address - State:KY
Practice Address - Zip Code:40065
Practice Address - Country:US
Practice Address - Phone:502-437-5375
Practice Address - Fax:502-437-5375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173485101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty