MEDICARE: BAYLEE TAYLOR MFT INTERN

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	106H00000X	Marriage & Family Therapist	MI4607	NV

General Provider Information

NPI Number	:	1417895723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAYLEE TAYLOR MFT INTERN

Provider Business Mailing Address
First Line	:	10655 PARK RUN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4589
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10655 PARK RUN DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89144-4589
Country	:	US
Telephone Number	:	702-389-4500
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ BAYLEE TAYLOR MFT INTERN” Practice Location

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