Evangeline Taylor
Individual provider Active NPI Counselor · Convent, LA
NPI 1770947970 · NPPES record last updated Apr 13, 2016
Key facts
- NPI
- 1770947970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 10128 La 44
Convent, LA 70723-2928 - Phone
- (225) 206-3246
- NPI assigned
- Apr 13, 2016
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
10128 La 44
Convent, LA 70723-2928
Mailing address
10128 La 44
Convent, LA 70723-2928
Phone (225) 206-3246
Other providers in Convent, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.