Provider Demographics
NPI:1003709908
Name:TAYLOR HEALING INSTITUTE
Entity type:Organization
Organization Name:TAYLOR HEALING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-379-9790
Mailing Address - Street 1:1440 W TAYLOR ST # 482
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4623
Mailing Address - Country:US
Mailing Address - Phone:312-379-9790
Mailing Address - Fax:312-379-9790
Practice Address - Street 1:1514 CRESTMARK BLVD APT 1514
Practice Address - Street 2:
Practice Address - City:LITHIA SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30122-4431
Practice Address - Country:US
Practice Address - Phone:312-379-9790
Practice Address - Fax:312-379-9790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health