Healthcare Provider Details

I. General information

NPI: 1730493347
Provider Name (Legal Business Name): DENZIE W. TAYLOR LCSW, MCAP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 03/23/2023
Certification Date: 03/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1265 KASS CIRCLE
SPRING HILL FL
34606-4308
US

IV. Provider business mailing address

3261 COMMERCIAL WAY
SPRING HILL FL
34606-2694
US

V. Phone/Fax

Practice location:
  • Phone: 352-686-3188
  • Fax: 352-686-9394
Mailing address:
  • Phone: 352-686-3188
  • Fax: 352-686-9394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberMCAP100113
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34006025A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11501
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: