Provider Demographics
NPI:1528331477
Name:CORA S. TAYLOR, PSY.S., LMHC, PA DBA CROSSWAY COUNSELING LEARNING CENT
Entity type:Organization
Organization Name:CORA S. TAYLOR, PSY.S., LMHC, PA DBA CROSSWAY COUNSELING LEARNING CENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYS
Authorized Official - Phone:941-637-7111
Mailing Address - Street 1:315 E. OLYMPIA AVENUE
Mailing Address - Street 2:SUITE 252
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33950-3823
Mailing Address - Country:US
Mailing Address - Phone:941-637-7111
Mailing Address - Fax:941-637-7343
Practice Address - Street 1:315 E. OLYMPIA AVENUE
Practice Address - Street 2:SUITE 252
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33950-3823
Practice Address - Country:US
Practice Address - Phone:941-637-7111
Practice Address - Fax:941-637-7343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4605251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL677796196Medicaid
FLZ8690OtherBLUE CROSS BLUE SHIELD OF FLORIDA
FL254891OtherVALUE OPTIONS
FL7683064OtherAETNA
FL11336OtherCOMPCARE
FL89541739OtherUNITED BEHAVIORAL HEALTH
FLCTAYLOR19OtherCIGNA
FL280650OtherWELLCARE