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KELLY TAYLOR-VERVALIN LCDC-I
NPI 1629420047
Substance Abuse Rehabilitation Facility in Angleton, TX

Active since July 09, 2016
1820 COUNTY ROAD 36, ANGLETON, TX 77515(832) 877-2121 Get Directions Write a Review

NPPES record last updated: July 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Taylor-vervalin Lcdc-i NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY TAYLOR-VERVALIN LCDC-I (NPI 1629420047) is an individual substance abuse rehabilitation facility provider in Angleton, Texas, licensed in Texas (17430) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1629420047
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameKELLY TAYLOR-VERVALINCredential: LCDC-I
Location Address1820 COUNTY ROAD 36Angleton, TX 77515-8727
Mailing Address14002 Towne Way DrSugar Land, TX 77498-1570 · (832) 877-2121
Phone(832) 877-2121
Sole ProprietorYes
Enumeration DateJuly 9, 2016
✔ NPI 1629420047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in TX · 17430
Definition
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.
1820 COUNTY ROAD 36, Angleton, TX 77515
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MONICA ROSE MEHALSHICK LCSW
Contractor
1820 COUNTY ROAD 36, SERENITY LIGHT RECOVERY LLC
ANGLETON, TX 77515
Brazoria County (302) 252-5277
SERENITY LIGHT RECOVERY LLC
Substance Abuse Rehabilitation Facility
1820 COUNTY ROAD 36
ANGLETON, TX 77515
Brazoria County (844) 973-7364
SERENITY LIGHT OF TEXAS LLC
Substance Abuse Rehabilitation Facility
1820 COUNTY ROAD 36
ANGLETON, TX 77515
Brazoria County (866) 303-6275
WILLIAM MATTHEW BUCKMASTER LCDC
Counselor (Addiction (Substance Use Disorder))
1820 COUNTY ROAD 36
ANGLETON, TX 77515
Brazoria County (409) 382-9295
MS. KRISTINA BARRETT LMSW
Social Worker
1820 COUNTY ROAD 36
ANGLETON, TX 77515
Brazoria County (832) 876-2979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Taylor-vervalin's NPI number?

The NPI number for Kelly Taylor-vervalin is 1629420047. It was assigned to this individual provider in the NPPES registry on July 9, 2016.

Where is Kelly Taylor-vervalin located?

Kelly Taylor-vervalin practices at 1820 County Road 36, Angleton, TX 77515. The listed phone number is (832) 877-2121.

What is Kelly Taylor-vervalin's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Kelly Taylor-vervalin was last updated on July 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.