Healthcare Provider Details

I. General information

NPI: 1831008507
Provider Name (Legal Business Name): TAYLOR TYLYNN THURMOND LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 BUCKWALTER PKWY STE 3UV
BLUFFTON SC
29910-4132
US

IV. Provider business mailing address

102 BUCKWALTER PKWY STE 3UV
BLUFFTON SC
29910-4132
US

V. Phone/Fax

Practice location:
  • Phone: 843-290-6828
  • Fax:
Mailing address:
  • Phone: 843-290-6828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number19246
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: