Provider Demographics
NPI:1891365334
Name:DUDEN, TAYLER KATHLEEN (LMSW)
Entity type:Individual
Prefix:
First Name:TAYLER
Middle Name:KATHLEEN
Last Name:DUDEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TAYLER
Other - Middle Name:KATHLEEN
Other - Last Name:HOUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1818 ANGELINE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-1203
Mailing Address - Country:US
Mailing Address - Phone:402-881-2303
Mailing Address - Fax:
Practice Address - Street 1:12301 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-6207
Practice Address - Country:US
Practice Address - Phone:713-322-3269
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104910104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker