Healthcare Provider Details

I. General information

NPI: 1255260709
Provider Name (Legal Business Name): TAYLOR CHASE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 UNION ST S STE 200
CONCORD NC
28025-5098
US

IV. Provider business mailing address

222 E BLAND ST UNIT 479
CHARLOTTE NC
28203-6186
US

V. Phone/Fax

Practice location:
  • Phone: 704-918-9741
  • Fax:
Mailing address:
  • Phone: 704-799-5778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: