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NPI Code Detail

MEDICARE: TAYSHA GAYLOR

MEDICARE:   TAYSHA  GAYLOR
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 Counselor

General Provider Information

NPI Number : 1609735752
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYSHA GAYLOR
Provider Business Mailing Address
First Line : 40 ROUNSEVILLE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02745-3629
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 350 FAIRWAY DR STE 101
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-1834
Country : US
Telephone Number : 877-418-2978
Fax Number : 866-500-2186
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

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Directions to “ TAYSHA GAYLOR ” Practice Location

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