Provider Demographics
NPI:1740492792
Name:TAYLOR, BARBARA (LBSW)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LBSW
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 667
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-0667
Mailing Address - Country:US
Mailing Address - Phone:972-740-6059
Mailing Address - Fax:214-988-1700
Practice Address - Street 1:8500 N STEMMONS FWY STE 1090
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3848
Practice Address - Country:US
Practice Address - Phone:972-740-6059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36024171M00000X
251B00000X
TX69439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173323001Medicaid
TX150507502Medicaid
TX173323002Medicaid