Provider Demographics
NPI:1750158804
Name:TAYLOR, CURTIS LEE
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:LEE
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 W 26TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-2400
Mailing Address - Country:US
Mailing Address - Phone:814-315-2283
Mailing Address - Fax:
Practice Address - Street 1:3311 W 26TH ST STE 4
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-2400
Practice Address - Country:US
Practice Address - Phone:814-315-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404008101YP2500X
PAPC016545101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional