Provider Demographics
NPI:1942623863
Name:TAYLOR, LINDA N
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:N
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 HILTON HEAD DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3311
Mailing Address - Country:US
Mailing Address - Phone:281-841-5109
Mailing Address - Fax:281-438-5617
Practice Address - Street 1:2135 HILTON HEAD DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3311
Practice Address - Country:US
Practice Address - Phone:281-438-5617
Practice Address - Fax:281-438-5617
Is Sole Proprietor?:No
Enumeration Date:2014-01-29
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18929101YA0400X
TX4237172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)