Taylor, Kenneth R.

Taylor, Kenneth R. is an sole proprietor health care provider with primary practice located at 2277 Sunset Blvd , West Columbia SC 29169-4713. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Taylor, Kenneth R. can be contacted via phone (888) 796-1117.

Contact Information

Primary practice address
2277 Sunset Blvd West Columbia SC 29169-4713
Phone: (888) 796-1117
Fax: (803) 996-5228
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1760811137
LBN Legal business name Taylor, Kenneth R.
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2013
Last updated Dec 17th, 2020 - 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 1760811137 NPPES
South Carolina MEDICAID PC 1596

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