Healthcare Provider Details

I. General information

NPI: 1487255303
Provider Name (Legal Business Name): MARGARET MARY TAYLOR LLPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARGARET MARY WHITAKER

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 11/06/2020
Certification Date: 11/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2723 S STATE ST STE 150
ANN ARBOR MI
48104-6188
US

IV. Provider business mailing address

5514 CAMBRIDGE CLUB CIR APT 106
ANN ARBOR MI
48103-9252
US

V. Phone/Fax

Practice location:
  • Phone: 734-794-3777
  • Fax: 734-794-3771
Mailing address:
  • Phone: 972-955-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6401018760
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: