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General NPI Number Information
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NPI Number | 1548646680
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Entity Type | Organization
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Legal Business Name | TAYLOR COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 607 HAMPSTEAD AVE
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City | STATESBORO
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State | GA
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Zip | 30458-0293
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Country | US
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Telephone | 912-481-8570
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Fax | 912-335-3411
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Provider Business Mailing Address
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Address Line | 7505 WATERS AVE SUITE F6
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City | SAVANNAH
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State | GA
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Zip | 31406-3825
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Country | US
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Telephone | 912-481-8570
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Fax | 912-335-3411
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | SARAH B TAYLOR
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Credential | MS, LPC
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Telephone | 912-481-8570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC006810
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License Number State | GA
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