Healthcare Provider Details

I. General information

NPI: 1013866433
Provider Name (Legal Business Name): ABIGAIL ANN TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3751 W MAIN ST
INDEPENDENCE KS
67301-8446
US

IV. Provider business mailing address

1500 CORNING AVE
PARSONS KS
67357-4252
US

V. Phone/Fax

Practice location:
  • Phone: 620-331-1748
  • Fax:
Mailing address:
  • Phone: 620-252-9633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05389
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: