Healthcare Provider Details

I. General information

NPI: 1669490934
Provider Name (Legal Business Name): BARBARA ANN TAYLOR PHD, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2534 SAND PIKE BLVD SUITE 2
PIGEON FORGE TN
37863-6235
US

IV. Provider business mailing address

PO BOX 25
PIGEON FORGE TN
37868-0025
US

V. Phone/Fax

Practice location:
  • Phone: 865-908-9522
  • Fax: 865-908-6638
Mailing address:
  • Phone: 865-908-9522
  • Fax: 865-908-6638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMT332
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: