Provider Demographics
NPI:1831542224
Name:TAYLOR, ANNE W (LPC, LMHC, ATR)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:W
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LPC, LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 42ND AVE SW UNIT 292
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-4553
Mailing Address - Country:US
Mailing Address - Phone:503-964-9464
Mailing Address - Fax:844-444-1163
Practice Address - Street 1:5642 CALIFORNIA AVE SW APT 5
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1553
Practice Address - Country:US
Practice Address - Phone:503-964-9464
Practice Address - Fax:844-444-1163
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR14-09-10101YA0400X
ORC4246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)