Provider Demographics
NPI:1215604384
Name:AUSBROOKS, TAYLOR MICHELE (CSW)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:MICHELE
Last Name:AUSBROOKS
Suffix:
Gender:
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 J WILSON RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:KY
Mailing Address - Zip Code:42206-5100
Mailing Address - Country:US
Mailing Address - Phone:615-472-8779
Mailing Address - Fax:
Practice Address - Street 1:1240 ASHLEY CIR STE B
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3344
Practice Address - Country:US
Practice Address - Phone:270-781-8112
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY256815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker