Healthcare Provider Details

I. General information

NPI: 1740492792
Provider Name (Legal Business Name): BARBARA TAYLOR LBSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 12/13/2021
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 N STEMMONS FWY STE 1090
DALLAS TX
75247-3848
US

IV. Provider business mailing address

PO BOX 667
CEDAR HILL TX
75106-0667
US

V. Phone/Fax

Practice location:
  • Phone: 972-740-6059
  • Fax:
Mailing address:
  • Phone: 972-740-6059
  • Fax: 214-988-1700

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number36024
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number69439
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: