MEDICARE: TAYLOR ANN GUIDISH MS, NCC, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC014408	PA

General Provider Information

NPI Number	:	1043952732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ANN GUIDISH MS, NCC, LPC

Provider Business Mailing Address
First Line	:	1428 COLLINS AVE
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-5304
Country	:	US
Telephone Number	:	412-979-0811
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 EASTGATE AVE STE 102
Second Line	:
City	:	MONESSEN
State	:	PA
Zip	:	15062-1392
Country	:	US
Telephone Number	:	724-684-6489
Fax Number	:	724-684-7116

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2022
Last Update Date	:	08/11/2023

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