Haley Elizabeth Councillor Taylor, LICSW
Social Worker, Clinical in Allston, MA. Individual provider (NPI-1).
NPI number1821586876
StatusActive
Last updated in NPPESAug 5, 2025
Details
- NPI
- 1821586876
- Entity type
- Individual (NPI-1)
- Name
- Haley Elizabeth Councillor Taylor
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 25, 2018
- Certification date
- Aug 5, 2025
- Last updated
- Aug 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 000124748 | MA | Yes |
Practice location
14 Fordham RdAllston, MA 02134-3006
Phone 617-782-6460
Mailing address
14 Fordham RdAllston, MA 02134-3006
Phone 617-782-6460
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