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NPI Code Detail

MEDICARE: MYLZ TAYLOR LPC, NCC

MEDICARE: MYLZ TAYLOR LPC, NCC
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
1101YM0800XMental Health CounselorPRC200002399DC

General Provider Information

NPI Number : 1508583394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLZ TAYLOR LPC, NCC
Provider Business Mailing Address
First Line : 1610 TULIP ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20012-1041
Country : US
Telephone Number : 202-425-7651
Fax Number :
Provider Business Practice Location Address
First Line : 2333 ONTARIO RD NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-2627
Country : US
Telephone Number : 202-797-9562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2022
Last Update Date : 12/10/2025

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