Kaitlin Taylor, M.ED., LPC

Individual provider Active NPI Mental Health Counselor · Vidor, TX

NPI 1134799596 · NPPES record last updated Jul 6, 2021

Key facts

NPI
1134799596
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
82838 (TX)
Practice address
1271 N Main St
Vidor, TX 77662-3740
Phone
(409) 330-0788
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
82838TXMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 82838 TX Yes

Addresses

Primary practice location

1271 N Main St
Vidor, TX 77662-3740

Mailing address

425 E Bolivar St
Vidor, TX 77662-5013
Phone (409) 330-0788

Other providers in Vidor, TX

All providers in Vidor, TX · Mental Health Counselor in Texas

Sources for this page

Verify at the official NPI Registry.