Taylor Ledbetter
Counselor, Professional in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1013649839
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1013649839
- Entity type
- Individual (NPI-1)
- Name
- Taylor Ledbetter
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6871351 | ID | Yes |
| 106S00000X | Behavior Technician | – | – |
Other names
- Taylor Heinig (Former Name)
Practice location
3700 W Seltice WayCoeur D Alene, ID 83814-8921
Phone 208-620-5255
Mailing address
Po Box 1387Hayden, ID 83835-1387
Phone 208-415-0299
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