MEDICARE: ROBERT TAYLOR LAC, LPCC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACD.002681	CO

General Provider Information

NPI Number	:	1972184125
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT TAYLOR LAC, LPCC

Provider Business Mailing Address
First Line	:	2535 S DOWNING ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2535 S DOWNING ST STE 500
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-5823
Country	:	US
Telephone Number	:	866-523-4268
Fax Number	:

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

Provider Enumeration Date	:	04/19/2021
Last Update Date	:	12/08/2025

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