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General NPI Number Information
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NPI Number | 1922579424
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Entity Type | Individual
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Provider Name | TAYLOR BRIANNA VINSON LCMHC
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Gender | Female
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Dates
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Enumeration Date | 12/09/2018
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 169 GATEWAY BLVD
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City | MOORESVILLE
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State | NC
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Zip | 28117-5540
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Country | US
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Telephone | 704-303-1303
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Fax | 704-831-5308
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Provider Business Mailing Address
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Address Line | 135 PLANTERS DR
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City | STATESVILLE
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State | NC
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Zip | 28677-9789
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Country | US
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Telephone | 704-345-8412
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 14247
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 14247
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License Number State | NC
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