Healthcare Provider Details

I. General information

NPI: 1013811488
Provider Name (Legal Business Name): TAYLOR MORGAN CLARK MA, LPCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 S MAIN ST
SOMERSET KY
42501-2012
US

IV. Provider business mailing address

230 RUNWAY BLVD
SOMERSET KY
42503-4914
US

V. Phone/Fax

Practice location:
  • Phone: 606-802-2052
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number311251
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: