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General NPI Number Information
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NPI Number | 1144136763
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Entity Type | Individual
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Provider Name | TAYLER LEANN WILSON LPC-A
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Gender | Female
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Dates
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Enumeration Date | 08/22/2026
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Last Update Date | 08/22/2026
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Provider Practice Location Address
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Address Line | 3030 HIGHWAY 81 N
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City | ANDERSON
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State | SC
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Zip | 29621-3620
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Country | US
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Telephone | 864-224-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 220 FIELDSTONE DR
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City | MOUNT AIRY
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State | GA
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Zip | 30563-2841
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Country | US
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Telephone | 540-633-8083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 11127
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License Number State | SC
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