Provider Demographics
NPI:1255572632
Name:TAYLOR, RODNEY W (LPC-S; LCDC; LCCA)
Entity type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPC-S; LCDC; LCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 423
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-0423
Mailing Address - Country:US
Mailing Address - Phone:469-226-9822
Mailing Address - Fax:
Practice Address - Street 1:424 MATTERHORN ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-2835
Practice Address - Country:US
Practice Address - Phone:469-226-9982
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10826101YA0400X
TX65340101YM0800X, 101YP2500X
TX101YP1600X, 101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool