Provider Demographics
NPI:1992231997
Name:ULREY, TAYLOR (MS)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:ULREY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7942 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2211
Mailing Address - Country:US
Mailing Address - Phone:816-894-8470
Mailing Address - Fax:816-894-8471
Practice Address - Street 1:7942 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2211
Practice Address - Country:US
Practice Address - Phone:816-894-8470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-11
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2965106H00000X
WA60765089106H00000X
MO2020011993106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490084536Medicaid