| Ethan Gray Taylor, LPC-A | |
|
426 S Lake Dr, Lexington, SC 29072-3414 | |
| (803) 814-5559 | |
| Not Available |
| Full Name | Ethan Gray Taylor |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 426 S Lake Dr, Lexington, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629788955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 8213 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethan Gray Taylor, LPC-A 426 S Lake Dr, Lexington, SC 29072-3414 Ph: (803) 814-5559 | Ethan Gray Taylor, LPC-A 426 S Lake Dr, Lexington, SC 29072-3414 Ph: (803) 814-5559 |
Hannah Latta, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Barr Rd, Lexington, SC 29072 Phone: 803-546-8228 | |
Miss Bodequia Simon, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd Ste D, Lexington, SC 29072 Phone: 803-996-1500 | |
Hugh A. Henderson, CAC, CPE, MDN Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 | |
Ms. Freddie Karen Busha, LPC/S Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 | |
Riley Danielle Goldstein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 Palmetto Park Blvd Ste D, Lexington, SC 29072 Phone: 803-996-1500 | |
Mrs. Mary Ellen Grigsby, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 426 S Lake Dr, Lexington, SC 29072 Phone: 803-814-5559 | |
Michelle Lynne Eichelberger, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Palmetto Park Blvd, Lexington, SC 29072 Phone: 803-996-1500 |