Provider Demographics
NPI:1679192702
Name:NOWAKOWSKI, TAYLOR KAY (LPC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:KAY
Last Name:NOWAKOWSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18341 TALL GRASS PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2391
Mailing Address - Country:US
Mailing Address - Phone:512-466-6956
Mailing Address - Fax:
Practice Address - Street 1:9390 RESEARCH BOULEVARD
Practice Address - Street 2:KALEIDO BUILDING II, SUITE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-6583
Practice Address - Country:US
Practice Address - Phone:512-466-6956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-09
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80206101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor