Active NPIIndividual providerSole proprietor

Susanne G Taylor, LMFT

Marriage & Family Therapist in Mystic, Connecticut

NPI Number1205138161
Practice location
12 Roosevelt Ave, Mystic, CT 06355-2809
Fax
—
Last updated
December 10, 2019

Susanne G Taylor is a Marriage & Family Therapist based in Mystic, CT. Susanne G Taylor practices in Mystic, CT and has the professional credentials of LMFT. The NPI Number for Susanne G Taylor is 1205138161 and holds a License No. 000618 (CT). The current practice location address for Susanne G Taylor is 12 Roosevelt Ave, Mystic, CT 06355-2809 and can be reached out via phone at 860-899-7711.

Provider Profile Details

NPI Number
1205138161
Provider Name
Susanne G Taylor
Credential
LMFT
Provider Entity Type
Individual
Gender
Female
Address
12 Roosevelt Ave, Mystic, CT 06355-2809
Phone Number
860-899-7711
Primary Taxonomy
Marriage & Family Therapist · 106H00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 29, 2010
Last Update Date
December 10, 2019
Certification Date
December 10, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Roosevelt Ave
Mystic, CT 06355-2809
City
Mystic
Zip
06355-2809
Phone Number
860-899-7711
Mystic, CT 06355Get directions →

Provider Business Mailing Address Details

Address
12 Roosevelt Ave
Mystic, CT 06355-2809
City
Mystic
State
CT
Zip
06355-2809
Phone Number
860-889-7711

License Information

License Number
000618
License State
CT
Taxonomy
Marriage & Family Therapist · 106H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susanne G Taylor, LMFT?

The NPI number of Susanne G Taylor, LMFT is 1205138161. It was assigned on November 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Susanne G Taylor, LMFT?

Susanne G Taylor, LMFT is registered under the primary taxonomy Marriage & Family Therapist (code 106H00000X), licensed in CT under license number 000618.

Where does Susanne G Taylor, LMFT practice?

The practice location is 12 Roosevelt Ave, Mystic, CT 06355-2809. The office can be reached at 860-899-7711 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205138161 directly on the NPPES registry website.

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