Healthcare Provider Details

I. General information

NPI: 1801734165
Provider Name (Legal Business Name): TAYLOR'D HEALTH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 GRANDVIEW DR
BYRAM MS
39272-4534
US

IV. Provider business mailing address

133 GRANDVIEW DR
BYRAM MS
39272-4534
US

V. Phone/Fax

Practice location:
  • Phone: 601-906-0163
  • Fax: 601-906-0163
Mailing address:
  • Phone: 601-906-0163
  • Fax: 601-906-0163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: CARLOS MONTREZ TAYLOR
Title or Position: CEO
Credential: TAYLOR
Phone: 601-906-0163