Provider Demographics
NPI:1497585905
Name:WENNING, TAYLOR (MSW SWLC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:WENNING
Suffix:
Gender:F
Credentials:MSW SWLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59624-0518
Mailing Address - Country:US
Mailing Address - Phone:406-442-8774
Mailing Address - Fax:406-442-0428
Practice Address - Street 1:501 N PARK AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-2703
Practice Address - Country:US
Practice Address - Phone:406-442-8774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT69938104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker