Taylor-Ford, Gayle M

Taylor-Ford, Gayle M is an sole proprietor health care provider with primary practice located at 420 Kennedy St , Burlington KS 66839-1120. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taylor-Ford, Gayle M can be contacted via phone (620) 364-2606.

Contact Information

Primary practice address
420 Kennedy St Burlington KS 66839-1120
Phone: (620) 364-2606
Fax: (620) 364-2551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 410 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4194 Kansas

Profile Details

NPI number 1699741264
LBN Legal business name Taylor-Ford, Gayle M
Credentials LSCSW, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2006
Last updated Jun 15th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699741264 NPPES
Kansas Other 0000116078 BC/BS KANSAS
Kansas MEDICAID 200373130F BC/BS KANSAS
Kansas MEDICAID 200373130E BC/BS KANSAS
Kansas MEDICAID 100454960A BC/BS KANSAS
Kansas MEDICAID 100454960B BC/BS KANSAS

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