Individual
MS. GAYLE M TAYLOR-FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW, LCAC
Contact information
Practice address
1200 GRAPHIC ARTS RD STE 100, EMPORIA, KS 66801-6204
(620) 208-6480
(620) 364-2551
Mailing address
420 KENNEDY ST, BURLINGTON, KS 66839-1120
(620) 364-2606
(620) 364-2551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
410
KS
1041C0700X
Clinical Social Worker
Primary
4194
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000116078
BC/BS KANSAS
KS
05
—
30003878840001
—
KS
05
—
30003878840002
—
KS
05
—
30003878840006
—
KS
05
—
30003878840007
—
KS
Enumeration date
02/24/2006
Last updated
07/30/2025
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