Individual
BAILEE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12945 W HIGHWAY 42, PROSPECT, KY 40059-9107
(502) 709-0419
Mailing address
395 PERSIMMON DR, NORTH VERNON, IN 47265-2461
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
276515
KY
101YM0800X
Mental Health Counselor
276515
KY
101YM0800X
Mental Health Counselor
Primary
39004113A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/23/2022
Last updated
06/23/2022
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