Provider Demographics
NPI:1457932717
Name:TAYLOR, SANDI F (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SANDI
Middle Name:F
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 KENTS STORE WAY
Mailing Address - Street 2:
Mailing Address - City:KENTS STORE
Mailing Address - State:VA
Mailing Address - Zip Code:23084-2308
Mailing Address - Country:US
Mailing Address - Phone:434-589-2372
Mailing Address - Fax:
Practice Address - Street 1:6851 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-5308
Practice Address - Country:US
Practice Address - Phone:804-715-3215
Practice Address - Fax:804-715-3233
Is Sole Proprietor?:No
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003731101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional