Blackwell, Taylor
Blackwell, Taylor is an individual health care provider with primary practice located at 1403 S Grand Blvd Ste 101S , Spokane WA 99203-2272. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Blackwell, Taylor can be contacted via phone (509) 362-9411.Contact Information
Primary practice address
1403 S Grand Blvd Ste 101S
Spokane WA 99203-2272
Phone: (509) 362-9411
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 911189908 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LF61367549 | Washington |
Profile Details
| NPI number | 1992240212 |
|---|---|
| LBN Legal business name | Blackwell, Taylor |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2016 |
| Last updated | Jan 5th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992240212 | NPPES |
| Other | 1104539030 | BUSINESS NPI NUMBER |
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