Provider Demographics
NPI:1811756588
Name:BARRETT, TAYLOR (MA, LCMHC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:BARRETT
Suffix:
Gender:F
Credentials:MA, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 OLD CANDIA RD
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2400
Mailing Address - Country:US
Mailing Address - Phone:603-815-2832
Mailing Address - Fax:
Practice Address - Street 1:510 OLD CANDIA RD
Practice Address - Street 2:
Practice Address - City:CANDIA
Practice Address - State:NH
Practice Address - Zip Code:03034-2400
Practice Address - Country:US
Practice Address - Phone:603-815-2832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2819101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty