Healthcare Provider Details

I. General information

NPI: 1285416537
Provider Name (Legal Business Name): TAYLOR HAIG LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2023
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1223 N ROCK RD STE A100
WICHITA KS
67206-1271
US

IV. Provider business mailing address

1223 N ROCK RD STE A100
WICHITA KS
67206-1271
US

V. Phone/Fax

Practice location:
  • Phone: 316-512-1486
  • Fax: 316-235-2490
Mailing address:
  • Phone: 316-512-1486
  • Fax: 316-235-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10127
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10127
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: