Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY TAYLOR-VERVALIN, LCDC-I
Active Sole ProprietorKELLY TAYLOR-VERVALIN, LCDC-I is a Substance Abuse Rehabilitation Facility healthcare provider located in ANGLETON, Texas. NPI 1629420047 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · ANGLETON, TX
Registration Details
- NPI Number
- 1629420047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2016 (10.106915101346 yrs)
- Last Updated
- Jul 9, 2016
- License
-
17430 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1820 COUNTY ROAD 36ANGLETON, TX, 775158727Browse TX providers · Browse ZIP 77515
- Phone
- 8328772121
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.