MEDICARE: JAMES DAVID TAYLOR LCMHC

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
1	101YP2500X	Professional Counselor	12816	NC
2	101YM0800X	Mental Health Counselor	12816	NC

General Provider Information

NPI Number	:	1588189070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES DAVID TAYLOR LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 2187
Second Line	:
City	:	SYLVA
State	:	NC
Zip	:	28779-2187
Country	:	US
Telephone Number	:	828-339-1519
Fax Number	:

Provider Business Practice Location Address
First Line	:	446 WILLOW POND RD
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-6316
Country	:	US
Telephone Number	:	615-504-6225
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	01/05/2026

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