1487255303 NPI number — MARGARET MARY TAYLOR LLPC, NCC

Table of content: MARGARET MARY TAYLOR LLPC, NCC (NPI 1487255303)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487255303 NPI number — MARGARET MARY TAYLOR LLPC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TAYLOR
Provider First Name:
MARGARET
Provider Middle Name:
MARY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LLPC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WHITAKER
Provider Other First Name:
MARGARET
Provider Other Middle Name:
MARY
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487255303
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5514 CAMBRIDGE CLUB CIR APT 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ANN ARBOR
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48103-9252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-955-7692
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2723 S STATE ST STE 150
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANN ARBOR
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48104-6188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-794-3777
Provider Business Practice Location Address Fax Number:
734-794-3771
Provider Enumeration Date:
11/06/2020

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: 101Y00000X , with the licence number:  6401018760 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1475552 . This is a "NATIONAL BOARD FOR CERTIFIED COUNSELORS, INC." identifier . This identifiers is of the category "OTHER".




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