Provider Demographics
NPI:1285416537
Name:HAIG, TAYLOR (LMSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:HAIG
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 N ROCK RD STE A100
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-1271
Mailing Address - Country:US
Mailing Address - Phone:316-512-1486
Mailing Address - Fax:316-235-2490
Practice Address - Street 1:1223 N ROCK RD STE A100
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1271
Practice Address - Country:US
Practice Address - Phone:316-512-1486
Practice Address - Fax:316-235-2490
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-19
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101271041C0700X
KS10127104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical