Provider Demographics
NPI:1437034592
Name:TAYLOR, PHOEBE (RESIDENT IN COUNSELI)
Entity type:Individual
Prefix:
First Name:PHOEBE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:RESIDENT IN COUNSELI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13038 LIMESTONE CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-0967
Mailing Address - Country:US
Mailing Address - Phone:703-544-7993
Mailing Address - Fax:
Practice Address - Street 1:11198 MAIN ST STE D2
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-5009
Practice Address - Country:US
Practice Address - Phone:703-975-3362
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional