KELLEY DAWN TAYLOR


Address: 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295
Phone: 6185346645

KELLEY DAWN TAYLOR (NPI# 1851935191) 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) 1851935191
Entity Type Individual
Full Name KELLEY DAWN TAYLOR
Credential MHP
Practice Address 4110 N Water Tower Pl
Mount Vernon
IL 62864-6295
Mailing Address 15690 E Blackward Ln
Mount Vernon
IL 62864-8651
Practice Telephone 6185346645
Mailing Telephone 6185346645
Enumeration Date 2019-10-30
Last Update Date 2019-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers KELLEY TAYLOR

NPI Name Taxonomy Address Enumeration
1164950903 Kelley Taylor Technician/Technologist 66 Court Sq, Mocksville, NC 27028-2415 2017-05-24
1639632979 Kelley Taylor Counselor 625 Arrawanna St, Colorado Springs, CO 80909-5201 2019-04-12
1235521808 Kelley Taylor Counselor 1224 N Ash St, Spokane, WA 99201-2802 2015-02-19
1801136031 Kelley E. Taylor Counselor 13788 Foothill Blvd, Unit 8, Sylmar, CA 91342-3375 2013-02-25
1558637413 Kelley Taylor Speech-Language Pathologist 4607 Manchaca Rd, Austin, TX 78745-1607 2012-03-26
1336432939 Kelley Jean Taylor Physical Therapy Assistant 265 Main St, Dalton, MA 01226-1614 2011-05-16
1124241336 Kelley L Taylor Pathology 225b Winton M Blount Loop, Montgomery, AL 36117-3507 2007-04-10

Office Location

Street Address 4110 N WATER TOWER PL
City MOUNT VERNON
State IL
Zip Code 62864-6295

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376768531 Amy Elizabeth Barton Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2007-04-14
1962001206 Mckynzi Ash Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2020-10-19
1679198246 Renee Zoll Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2020-06-10
1972128544 Mallory Johnston Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2020-06-10
1356976385 Amanda Coryell Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2020-03-10
1720627219 Lacey L Laird Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2019-12-31
1417507922 Kim Ann Collins Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2019-09-17
1063072098 Jon Christian Minor Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2019-06-20
1912566944 Kellie Nicole Sigrist Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2019-06-12
1447748074 Azure Newman Counselor 4110 N Water Tower Pl, Mount Vernon, IL 62864-6295 2018-04-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376144196 Karina Rieke Counselor 29 Mersereau Ave, Mount Vernon, NY 10553-1105 2020-11-06
1619503489 Camille Elise Keefe Counselor 301 Valley Mall Way Ste 100, Mount Vernon, WA 98273-5462 2020-03-12
1720540396 Erica Parker-jackson Counselor 27 Melrose Ave, Mount Vernon, NY 10552-3108 2019-04-03
1588107585 Christopher M Reid Counselor 306 Highway 1 S Ste B, Mount Vernon, IA 52314-9501 2016-11-22
1093262933 Kristine Grace Ford Counselor 2203 Old Hwy 99 S, Mount Vernon, WA 98273 2016-09-08
1568919082 Douglas Bryant Srour Counselor 256 Washington Street, Mount Vernon, NY 10553 2016-09-01
1629442959 Whitney Baldridge Counselor 16342 N Il Highway 37, Mount Vernon, IL 62864-8178 2015-11-24
1811368343 Lessie Lacy Counselor 423 S 8th Ave, Mount Vernon, NY 10550-4326 2015-10-09
1588044887 Haile Selassie Counselor 138 S Columbus Ave, Mount Vernon, NY 10553-1337 2015-06-02
1336543412 Randy Graeme Bennett Counselor 120 E Fir St Ste 102, Mount Vernon, WA 98273-2964 2014-10-17
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 62864

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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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