MEDICARE: LAURA M TAYLOR MS, LCMHCS, EMDR-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	4739	NC
2	101YM0800X	Mental Health Counselor	S4739	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053482927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA M TAYLOR MS, LCMHCS, EMDR-C

Provider Business Mailing Address
First Line	:	4154 MENDENHALL OAKS PKWY STE 101
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8426
Country	:	US
Telephone Number	:	336-884-9510
Fax Number	:	336-884-9518

Provider Business Practice Location Address
First Line	:	4154 MENDENHALL OAKS PKWY STE 101
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-8426
Country	:	US
Telephone Number	:	336-884-9510
Fax Number	:	336-884-9518

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	12/10/2025

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