Taylor, Justin Michael

Taylor, Justin Michael is an individual health care provider with primary practice located at 115 Rockwood Ln , Hazard KY 41701-9415. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Taylor, Justin Michael can be contacted via phone (606) 436-5761.

Contact Information

Primary practice address
115 Rockwood Ln Hazard KY 41701-9415
Phone: (606) 436-5761
Fax: (606) 436-5797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 165706

Profile Details

NPI number 1386976389
LBN Legal business name Taylor, Justin Michael
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2010
Last updated Mar 29th, 2018 - 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 1386976389 NPPES
Kentucky MEDICAID 7100358550

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