Healthcare Provider Details

I. General information

NPI: 1588572648
Provider Name (Legal Business Name): TAYLOR BURGARD LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

367 FREEDOM PKWY STE 110
PITTSBORO NC
27312-4954
US

IV. Provider business mailing address

1328 UMSTEAD HOLLOW PL UNIT 1328
CARY NC
27513-8462
US

V. Phone/Fax

Practice location:
  • Phone: 919-285-4802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberA23412
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: