MEDICARE: CHELSEA DENISE TAYLOR LPC

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		AR

General Provider Information

NPI Number	:	1366251761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA DENISE TAYLOR LPC

Provider Business Mailing Address
First Line	:	2020 HINSON LOOP RD APT 238
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-3953
Country	:	US
Telephone Number	:	501-733-4319
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 HINSON LOOP RD APT 238
Second Line	:
City	:	LITTLE ROCK
State	:	AR
Zip	:	72212-3953
Country	:	US
Telephone Number	:	501-733-4319
Fax Number	:

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

Provider Enumeration Date	:	01/01/2025
Last Update Date	:	01/01/2025

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