1174297832 NPI number — COHEN ASHLEY DUNCAN TAYLOR LMFT

Table of content: COHEN ASHLEY DUNCAN TAYLOR LMFT (NPI 1174297832)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174297832 NPI number — COHEN ASHLEY DUNCAN TAYLOR LMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
COHEN
Provider Middle Name:
ASHLEY DUNCAN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DUNCAN
Provider Other First Name:
COHEN
Provider Other Middle Name:
ASHLEY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMFT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1174297832
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/05/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3357 NAPOLEON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30337-1143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-509-4821
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3357 NAPOLEON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30337-1143
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-509-4821
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/05/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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