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NPI Code Detail

MEDICARE: TAYLOR SOILEAU MADDOX PLPC

MEDICARE: TAYLOR SOILEAU MADDOX PLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPLC9605LA

General Provider Information

NPI Number : 1043179781
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR SOILEAU MADDOX PLPC
Provider Business Mailing Address
First Line : 614 ESPLANADE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-6308
Country : US
Telephone Number : 337-478-1411
Fax Number : 337-562-1489
Provider Business Practice Location Address
First Line : 614 ESPLANADE ST
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70607-6308
Country : US
Telephone Number : 337-478-1411
Fax Number : 337-562-1489
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ TAYLOR SOILEAU MADDOX PLPC” Practice Location

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