MEDICARE: TAYLOR HUTCHINS LMHC

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	MHC01108	RI

General Provider Information

NPI Number	:	1619507829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR HUTCHINS LMHC

Provider Business Mailing Address
First Line	:	3205 POST RD UNIT 6056
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02887-7746
Country	:	US
Telephone Number	:	401-248-3723
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 COLE AVE
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-3425
Country	:	US
Telephone Number	:	401-585-0146
Fax Number	:

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

Provider Enumeration Date	:	01/16/2020
Last Update Date	:	08/23/2021

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