Provider Demographics
NPI:1588257414
Name:HUDSON, TAYLOR CHEYENNE (LPC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:CHEYENNE
Last Name:HUDSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:OKMULGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74447-7824
Mailing Address - Country:US
Mailing Address - Phone:918-839-5835
Mailing Address - Fax:
Practice Address - Street 1:1019 VALLEY RD
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-7824
Practice Address - Country:US
Practice Address - Phone:918-839-5835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-11
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health