MEDICARE: TAYLOR MALYN CROW LPCA, NCC, MA

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	100407	TX

General Provider Information

NPI Number	:	1174486609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR MALYN CROW LPCA, NCC, MA

Provider Business Mailing Address
First Line	:	1510 VIEWRIDGE DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-3133
Country	:	US
Telephone Number	:	210-240-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3510 N SAINT MARYS ST STE 210
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3164
Country	:	US
Telephone Number	:	210-526-4280
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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