Provider Demographics
NPI:1033878582
Name:TAYLOR, SORAYA LEE
Entity type:Individual
Prefix:
First Name:SORAYA
Middle Name:LEE
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 1:1291 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-1245
Mailing Address - Country:US
Mailing Address - Phone:719-346-8183
Mailing Address - Fax:719-346-0292
Practice Address - Street 1:1291 CIRCLE DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80807-1245
Practice Address - Country:US
Practice Address - Phone:719-346-8183
Practice Address - Fax:719-346-0292
Is Sole Proprietor?:No
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker