Provider Demographics
NPI:1902894363
Name:TAYLOR, DENNIS L SR (LPC)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:L
Last Name:TAYLOR
Suffix:SR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1240 1ST ST N STE 107
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-9034
Mailing Address - Country:US
Mailing Address - Phone:205-621-2525
Mailing Address - Fax:205-621-2595
Practice Address - Street 1:1240 1ST ST N
Practice Address - Street 2:SUITE 211
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8807
Practice Address - Country:US
Practice Address - Phone:205-621-2525
Practice Address - Fax:205-621-2595
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2020-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL707101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health