Provider Demographics
NPI:1538973581
Name:CROSBY, TAYLOR RENEE (LPC 04939-T)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:RENEE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:LPC 04939-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 W 6TH ST APT 210
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2416
Mailing Address - Country:US
Mailing Address - Phone:620-766-0013
Mailing Address - Fax:
Practice Address - Street 1:930 IOWA ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1835
Practice Address - Country:US
Practice Address - Phone:620-766-0013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-01
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04939-T101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional