KELLY TAYLOR-VERVALIN LCDC-I – NPI #1629420047
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

KELLY TAYLOR-VERVALIN is a substance abuse rehabilitation facility located in ANGLETON, TX. NPPES has assigned the NPI number 1629420047 to KELLY TAYLOR-VERVALIN on July 09, 2016. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY TAYLOR-VERVALIN below.

NPI Profile for
KELLY TAYLOR-VERVALIN

NPI Number
1629420047
Enumeration Date

(about 10 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY TAYLOR-VERVALIN
Credentials
LCDC-I
Primary location
1820 COUNTY ROAD 36
ANGLETON, TX 77515-8727
Phone: (832) 877-2121 Fax:
Mailing address
14002 TOWNE WAY DR
SUGAR LAND, TX 77498-1570
Phone: (832) 877-2121 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
TX 17430

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.