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General NPI Number Information
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NPI Number | 1396671061
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Entity Type | Individual
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Provider Name | JE'NYA TAYLOR LCMHCA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 211 W 14TH ST STE C
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City | GREENVILLE
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State | NC
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Zip | 27834-4081
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Country | US
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Telephone | 252-406-7468
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 TARINGTON WAY APT 105
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City | GREENVILLE
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State | NC
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Zip | 27834-4213
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Country | US
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Telephone | 252-814-0768
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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 | A23011
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License Number State | NC
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