MEDICARE: KAYLENE MARIE TAYLOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHCA.MC.70092592	WA

General Provider Information

NPI Number	:	1265152821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLENE MARIE TAYLOR

Provider Business Mailing Address
First Line	:	1320 8TH AVE SE
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98501-1618
Country	:	US
Telephone Number	:	360-878-5150
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 YAUGER WAY SW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-8660
Country	:	US
Telephone Number	:	360-878-8248
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	04/09/2026

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