Provider Demographics
NPI:1316347412
Name:COUNSELING WITH TAYA
Entity type:Organization
Organization Name:COUNSELING WITH TAYA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TAYA
Authorized Official - Middle Name:MARCELL
Authorized Official - Last Name:GYORKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:530-520-3770
Mailing Address - Street 1:9458 YOKUM ST
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8906
Mailing Address - Country:US
Mailing Address - Phone:530-520-3770
Mailing Address - Fax:
Practice Address - Street 1:630 SALEM ST
Practice Address - Street 2:SUITE NUMBERS 120, 220
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5556
Practice Address - Country:US
Practice Address - Phone:530-520-3770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44763106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty