Healthcare Provider Details

I. General information

NPI: 1013841485
Provider Name (Legal Business Name): KRISTIE TAYLOR READ MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7805 PETERSEN POINT RD
MILTON FL
32583-8599
US

IV. Provider business mailing address

7805 PETERSEN POINT RD
MILTON FL
32583-8599
US

V. Phone/Fax

Practice location:
  • Phone: 850-768-4958
  • Fax:
Mailing address:
  • Phone: 850-768-4958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH27313
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: