MEDICARE: ELIZABETH TAYLOR

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1265216501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH TAYLOR

Provider Business Mailing Address
First Line	:	PO BOX 614
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42241-0614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	735 NORTH DR
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-2620
Country	:	US
Telephone Number	:	270-886-5163
Fax Number	:

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

Provider Enumeration Date	:	08/18/2023
Last Update Date	:	12/04/2025

Similar Medicare Providers

1346321643 — LIFESKILLS, INC.
Practice Location Address:

735 NORTH DR
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-886-5163
Practice Fax: 270-886-5178

1205918224 — KATRENA BLACKWELL MSN, PMHCNS, ARNP-BC
Practice Location Address:

739 NORTH DR
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-886-5163
Practice Fax:

1508949793 — ASHLEY FELTS BOZE LCSW
Practice Location Address:

737B NORTH DRIVE
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-890-1780
Practice Fax: 270-890-1789

1659454569 — DONALD GOBLE LCADC, LCSW
Practice Location Address:

735 NORTH DR
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-886-5163
Practice Fax: 270-886-5178

1457434391 — WENDY WILSON-HARGROVE LCSW
Practice Location Address:

735 NORTH DR
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-886-5163
Practice Fax: 270-886-5178

1285717470 — AUDRA SCOTT HARRISON LCSW
Practice Location Address:

737B NORTH DR
HOPKINSVILLE, KY
42240-2620

Practice Phone: 270-991-9551
Practice Fax:

Directions to “ ELIZABETH TAYLOR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.