MEDICARE: MS. SHEILA ANN TAYLOR

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	101Y00000X	Counselor	10181	TX

General Provider Information

NPI Number	:	1467731703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA ANN TAYLOR

Provider Business Mailing Address
First Line	:	609 FINLEY ST
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4219
Country	:	US
Telephone Number	:	469-285-0654
Fax Number	:	972-446-4334

Provider Business Practice Location Address
First Line	:	609 FINLEY ST
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-4219
Country	:	US
Telephone Number	:	469-285-0654
Fax Number	:	972-446-4334

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

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