Healthcare Provider Details

I. General information

NPI: 1679125363
Provider Name (Legal Business Name): TAYLOR MARIE CROSSLEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR MARIE BEACH PMHNP-BC

II. Dates (important events)

Enumeration Date: 07/12/2019
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6054 BEECHER RD
FLINT MI
48532-2001
US

IV. Provider business mailing address

5154 MILLER RD STE I
FLINT MI
48507-1069
US

V. Phone/Fax

Practice location:
  • Phone: 810-447-9736
  • Fax:
Mailing address:
  • Phone: 810-406-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704316158
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number4704316158
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: