Provider Demographics
NPI:1720784887
Name:TAYLOR, GLORIA (MSW)
Entity type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 741055
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70174-1055
Mailing Address - Country:US
Mailing Address - Phone:504-289-9940
Mailing Address - Fax:
Practice Address - Street 1:6330 STRATFORD PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70131-7326
Practice Address - Country:US
Practice Address - Phone:504-289-9940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13652104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker