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NPI Code Detail

MEDICARE: TAYLOR WELLNESS CENTER, INC.

MEDICARE: TAYLOR WELLNESS CENTER, INC.
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
1171M00000XCase Manager/Care Coordinator
2101YM0800XMental Health Counselor
3225800000XRecreation Therapist
4133NN1002XNutrition Education Nutritionist
5363LP0808XPsychiatric/Mental Health Nurse Practitioner
61041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326507237
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAYLOR WELLNESS CENTER, INC.
Provider Business Mailing Address
First Line : 10999 RED RUN BLVD STE 205
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3249
Country : US
Telephone Number : 443-431-3875
Fax Number : 443-264-0426
Provider Business Practice Location Address
First Line : 1314 BEDFORD AVE STE 114
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3737
Country : US
Telephone Number : 443-431-3875
Fax Number : 443-264-0426
Authorized Official
Title or Position : PRESIDENT AND CEO
Name : FATIMA TAYLOR
Credential : LCSW-C
Telephone Number : 443-431-3875
Provider Enumeration Date : 03/19/2019
Last Update Date : 03/30/2022

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Directions to “TAYLOR WELLNESS CENTER, INC. ” Practice Location

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