Provider Demographics
NPI:1356175244
Name:WILLIAMS, TAYLOR ANN (MA, ATR-BC, LPC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:ANN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MA, ATR-BC, LPC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ANN
Other - Last Name:GUTTESMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATR-BC, LPC
Mailing Address - Street 1:789 ORE ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-1351
Mailing Address - Country:US
Mailing Address - Phone:609-947-8251
Mailing Address - Fax:
Practice Address - Street 1:16 INDUSTRIAL BLVD STE 203
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1609
Practice Address - Country:US
Practice Address - Phone:800-847-3633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
PAPC015517101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist