Provider Demographics
NPI:1154677656
Name:TAYLOR, WILLIAM RYAN (LPC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RYAN
Last Name:TAYLOR
Suffix:
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:PO BOX 344
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:SC
Mailing Address - Zip Code:29071-0344
Mailing Address - Country:US
Mailing Address - Phone:803-641-7700
Mailing Address - Fax:803-641-7713
Practice Address - Street 1:4788 PLATT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29170-1028
Practice Address - Country:US
Practice Address - Phone:803-359-8595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health