Taylor, Jerilyn

Taylor, Jerilyn is an sole proprietor health care provider with primary practice located at 615 Hoopes Ave , Idaho Falls ID 83401-6106. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Taylor, Jerilyn can be contacted via phone (208) 542-0352.

Contact Information

Primary practice address
615 Hoopes Ave Idaho Falls ID 83401-6106
Phone: (208) 542-0352
Fax: (208) 542-0359
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-6094 Idaho
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 03 197 Idaho

Profile Details

NPI number 1841668761
LBN Legal business name Taylor, Jerilyn
Credentials MS, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2015
Last updated Apr 8th, 2019 - about 6 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 1841668761 NPPES
Idaho Other 1841668761 NPI

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