Healthcare Provider Details

I. General information

NPI: 1407764806
Provider Name (Legal Business Name): TAYLOR ANNE-MARIE DILLARD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

379 NEW MARKET BLVD STE 2
BOONE NC
28607-3765
US

IV. Provider business mailing address

805 STATE FARM RD STE 304
BOONE NC
28607-4914
US

V. Phone/Fax

Practice location:
  • Phone: 828-719-8509
  • Fax: 405-807-9423
Mailing address:
  • Phone: 828-719-8509
  • Fax: 405-807-9423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23440
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: