Provider Demographics
NPI:1639900996
Name:WERLINGER, TAYLOR ANN (MS, LPC-IT, SAC-IT)
Entity type:Individual
Prefix:MS
First Name:TAYLOR
Middle Name:ANN
Last Name:WERLINGER
Suffix:
Gender:F
Credentials:MS, LPC-IT, SAC-IT
Other - Prefix:MS
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:WERLINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC-IT, SAC-IT
Mailing Address - Street 1:1717 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53403-2405
Mailing Address - Country:US
Mailing Address - Phone:262-638-6744
Mailing Address - Fax:
Practice Address - Street 1:1717 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:RACINE
Practice Address - State:WI
Practice Address - Zip Code:53403-2405
Practice Address - Country:US
Practice Address - Phone:262-638-6744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7428101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional