Healthcare Provider Details

I. General information

NPI: 1083958474
Provider Name (Legal Business Name): ANAH D. EMERSON-TAYLOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2012
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6349 EVARO AVE
SPRING HILL FL
34608-1015
US

IV. Provider business mailing address

6349 EVARO AVE
SPRING HILL FL
34608-1015
US

V. Phone/Fax

Practice location:
  • Phone: 260-409-9845
  • Fax:
Mailing address:
  • Phone: 260-409-9845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW12398
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: