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General NPI Number Information
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NPI Number | 1033998653
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Entity Type | Individual
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Provider Name | PAUL MICHAEL TAYLOR LCPC, ACLC
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Gender | Male
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Dates
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Enumeration Date | 09/22/2023
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 113 W FRONT ST STE 111
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City | MISSOULA
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State | MT
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Zip | 59802-4327
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Country | US
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Telephone | 406-213-5244
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Fax |
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Provider Business Mailing Address
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Address Line | 416 KING ST
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City | MISSOULA
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State | MT
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Zip | 59801-8608
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Country | US
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Telephone | 856-701-2900
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-LCPC-LIC-81062
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-ACLC-LIC-57255
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License Number State | MT
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