| The Taylor-austin Group, Llc | |
|
57 Plains Rd Suite 2c Milford CT 06461-2573 | |
| (203) 522-6164 | |
| Not Available |
| Full Name | The Taylor-austin Group, Llc |
|---|---|
| Speciality | Counselor |
| Location | 57 Plains Rd, Milford, Connecticut |
| Authorized Official Name and Position | Lisa A Taylor-austin (OWNER) |
| Authorized Official Contact | 2035226164 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Taylor-austin Group, Llc 415 Boston Post Rd Ste 3-1118 Milford CT 06460-2578 Ph: (203) 522-6164 | The Taylor-austin Group, Llc 57 Plains Rd Suite 2c Milford CT 06461-2573 Ph: (203) 522-6164 |
| NPI Number | 1306396981 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 6103278288 |
|---|---|
| Medicare Enrollment ID | O20240115001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306396981 | NPI | - | NPPES |
| CBHP003961 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 001282 (Connecticut) | Primary |
| Provider Name | Lisa A Taylor-austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114916574 PECOS PAC ID: 9739531815 Enrollment ID: I20240116000225 |
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