Provider Demographics
NPI:1093180580
Name:CHAPMAN, TAYLOR NICOLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:NICOLE
Last Name:CHAPMAN
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:DUKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:512 CADDO GAP RD
Mailing Address - Street 2:
Mailing Address - City:BONNERDALE
Mailing Address - State:AR
Mailing Address - Zip Code:71933-9278
Mailing Address - Country:US
Mailing Address - Phone:501-282-4351
Mailing Address - Fax:
Practice Address - Street 1:135 SAWTOOTH OAK ST
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7160
Practice Address - Country:US
Practice Address - Phone:501-781-3122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2006031101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR260038719Medicaid