Healthcare Provider Details

I. General information

NPI: 1154715837
Provider Name (Legal Business Name): GEMMA CHRISTIE TAYLOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: GEMMA CHRISTIE MCDONALD LCSW

II. Dates (important events)

Enumeration Date: 03/20/2015
Last Update Date: 01/17/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 MAIN ST STE 13
FRISCO CO
80443-5487
US

IV. Provider business mailing address

715 HORIZON DR STE 225
GRAND JUNCTION CO
81506-8700
US

V. Phone/Fax

Practice location:
  • Phone: 720-273-9999
  • Fax: 970-572-9624
Mailing address:
  • Phone: 970-683-7107
  • Fax: 970-683-7167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: