Taylor Colleran, LMSW
Social Worker, Clinical in Eagle, ID. Individual provider (NPI-1).
NPI number1275465635
StatusActive
Last updated in NPPESJul 20, 2026
Details
- NPI
- 1275465635
- Entity type
- Individual (NPI-1)
- Name
- Taylor Colleran
- Credential
- LMSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2026
- Certification date
- Jul 20, 2026
- Last updated
- Jul 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 6281715 | ID | Yes |
Practice location
1025 S Bridgeway Pl Ste 280Eagle, ID 83616-6834
Phone 208-412-7740
Mailing address
366 S Sunset Point WayMeridian, ID 83642-5495
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