Provider Demographics
NPI:1013495340
Name:TAYLOR, NIA-DAYO (LBS, LMSW, MHS)
Entity Type:Individual
Prefix:
First Name:NIA-DAYO
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LBS, LMSW, MHS
Other - Prefix:
Other - First Name:NIA-DAYO
Other - Middle Name:
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LBS, LMSW, MHS
Mailing Address - Street 1:7311 DREXEL RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19151-2208
Mailing Address - Country:US
Mailing Address - Phone:215-475-1928
Mailing Address - Fax:
Practice Address - Street 1:7311 DREXEL RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19151-2208
Practice Address - Country:US
Practice Address - Phone:215-475-1928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-30
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health