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General NPI Number Information
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NPI Number | 1992590780
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Entity Type | Organization
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Legal Business Name | TAYLORED MENTAL HEALTH PLLC
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 38 ROUTE 134 UNIT 10
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3818
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Country | US
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Telephone | 207-577-4012
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Fax |
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Provider Business Mailing Address
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Address Line | 26 CROWELL RD
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City | SANDWICH
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State | MA
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Zip | 02563-2238
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Country | US
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Telephone | 207-577-4012
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Fax |
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Authorized Official
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Title or Position | RESIDENT AGENT
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Name | JEFFREY TAYLOR
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Credential | LMHC
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Telephone | 207-577-4012
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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 |
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License Number State |
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