MEDICARE: TAYLOR MEDICAL & COUNSELING SERVICES, PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	207Q00000X	Family Medicine Physician
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	363LP2300X	Primary Care Nurse Practitioner

General Provider Information

NPI Number	:	1598535718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLOR MEDICAL & COUNSELING SERVICES, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 1223
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77347-1223
Country	:	US
Telephone Number	:	832-392-4933
Fax Number	:

Provider Business Practice Location Address
First Line	:	505 N SAM HOUSTON PKWY E STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77060-4086
Country	:	US
Telephone Number	:	832-392-4933
Fax Number	:

Authorized Official
Title or Position	:	FAMILY NURSE PRACTITIONER
Name	:	CARMEN TAYLOR
Credential	:	FNP
Telephone Number	:	832-392-4933

Provider Enumeration Date	:	01/08/2024
Last Update Date	:	08/19/2024

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