Individual
BRIAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED
Contact information
Practice address
255 S 17TH ST FL 9, PHILADELPHIA, PA 19103-6209
(203) 927-0650
Mailing address
255 S 17TH ST FL 9, PHILADELPHIA, PA 19103-6209
(203) 927-0650
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC019496
PA
101YM0800X
Mental Health Counselor
PC019496
PA
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
03/10/2026
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