Healthcare Provider Details

I. General information

NPI: 1851524664
Provider Name (Legal Business Name): NATASHA DOROTHY TAYLOR LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2009
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4237 LAC DU BAY DR
HARVEY LA
70058-5232
US

IV. Provider business mailing address

4237 LAC DU BAY DR
HARVEY LA
70058-5232
US

V. Phone/Fax

Practice location:
  • Phone: 504-312-0580
  • Fax:
Mailing address:
  • Phone: 504-312-0580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number9521
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number9521
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: