JEFFREY L TAYLOR SR.


Address: 1610 Miller Park Way, Milwaukee, WI 53214-3604
Phone: 2625496600

JEFFREY L TAYLOR SR. (NPI# 1083931927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083931927
Entity Type Individual
Full Name JEFFREY L TAYLOR SR.
Credential CSAC
Practice Address 1610 Miller Park Way
Milwaukee
WI 53214-3604
Mailing Address 2422 N Grandview Blvd
Waukesha
WI 53188-6105
Practice Telephone 2625496600
Practice Fax Number 2625496698
Mailing Telephone 2625496600
Mailing Fax Number 2625496698
Enumeration Date 2010-05-03
Last Update Date 2010-08-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
15483132 WI Behavioral Health & Social Service Providers

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1396894440 Jeffrey L Taylor Dentist 110 Dorchester Ave, Cambridge, MD 21613-1915 2007-01-09
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Office Location

Street Address 1610 MILLER PARK WAY
City MILWAUKEE
State WI
Zip Code 53214-3604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033751599 Crystal Marie Sims Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2019-10-16
1588221915 Danielle York Registered Nurse 1610 Miller Park Way, Milwaukee, WI 53214-3604 2019-05-21
1215499728 Karen Shanahan Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2019-04-03
1043770365 Alexandria Grace Vieth Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2019-03-22
1649737529 Elizabeth Wills Licensed Practical Nurse 1610 Miller Park Way, Milwaukee, WI 53214-3604 2019-02-27
1124598529 Leah Marie Rajchel Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2018-11-28
1033685540 Derek R Thruman Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2018-10-23
1538671409 Therese Robinson Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2017-10-31
1487171542 Alexis Simone Jefferson Registered Nurse 1610 Miller Park Way, Milwaukee, WI 53214-3604 2017-08-29
1649713918 Iran O Jennings Counselor 1610 Miller Park Way, Milwaukee, WI 53214-3604 2016-11-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740740208 Melanie Figueroa Counselor West Milwaukee Ctc, 1610 Miller Park Way, West Milwaukee, WI 53214 2019-03-21
1619403011 Lea Salome Denny Counselor 8626b W Greenfield Ave, Suite B300, West Allis, WI 53214 2017-05-04
1891148318 West Allis Prescription Center Inc Pharmacy 6737 W Washington Ave, Suite 1100, West Allis, WI 53214 2016-07-20
1316390495 Kristina Overlee Nurse Practitioner 6737 W. Washington Street, Suite 2150, West Allis, WI 53214 2016-07-13
1801239843 Daniel Anthony Cichy Pharmacist 10101 W Greenfield Ave Ste 130, West Allis, WI 53214 2013-04-09
1295072544 Wisconsin Vision, Inc. Optometrist 1220 Miller Park Way, West Milwaukee, WI 53214 2013-01-07
1831457720 Kevin Konieczka Physical Therapist 1224 Miller Parkway, Milwaukee, WI 53214 2012-04-27
1497031843 Jill Elizabeth Gerou Registered Nurse 8420 West Greenfield Ave, Apartment #7, West Allis, WI 53214 2011-10-31
1700176815 Carolyn Hasek Counselor 1126 S 70th St Ste 112-113, West Allis, WI 53214 2011-04-10
1972802775 Barbara Smith Licensed Practical Nurse 651 S 63 St, Apt1, Milwaukee, WI 53214 2011-03-18
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1689216293 Carollyn Black Counselor 4892 N 19th St, Milwaukee, WI 53209-5757 2019-10-15
1861046146 Lisa Marie Ortiz Counselor 3336 S 76th St, Milwaukee, WI 53219-3805 2019-07-25
1891359576 Kenneth Ginlack Sr Consulting Services LLC Counselor 3927 S Howell Ave Ste 102, Milwaukee, WI 53207-4421 2019-04-27
1649733189 Stacey King Counselor Rivershore Comprehensive Treatment Facility, 3703 N Richards St, Milwaukee Wi, Milwaukee, WI 53212 2019-04-11
1821561168 Lydia Ann Mendez Counselor 3703 N Richards St, Milwaukee, WI 53212 2019-01-09
1851863302 Glen Victor Fleming Counselor 2821 North 4th Street Suite 210, Milwaukee, WI 53212 2018-12-21
1992280218 Tanya Lynn Peters Counselor 9224 W Burleigh St, Milwaukee, WI 53222-3503 2018-10-02
1467948844 Alexcis Coleman Counselor 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 2018-07-09
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Competitor

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City MILWAUKEE
Zip Code 53214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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