Provider Demographics
NPI:1215073317
Name:TAYLOR, SEAN F (MS MFT)
Entity type:Individual
Prefix:
First Name:SEAN
Middle Name:F
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13701 W JEWELL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-4180
Mailing Address - Country:US
Mailing Address - Phone:303-902-3068
Mailing Address - Fax:303-484-3943
Practice Address - Street 1:13701 W JEWELL AVE STE 205
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-4180
Practice Address - Country:US
Practice Address - Phone:303-902-3068
Practice Address - Fax:303-484-3943
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT-885106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist