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NPI Code Detail

MEDICARE: TAMERA TAYLOR

MEDICARE: TAMERA 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
1171M00000XCase Manager/Care Coordinator
2101YA0400XAddiction (Substance Use Disorder) Counselor5045LA

General Provider Information

NPI Number : 1821469743
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMERA TAYLOR
Provider Business Mailing Address
First Line : 201 CENTURY VILLAGE BLVD STE 234
Second Line :
City : MONROE
State : LA
Zip : 71203-2008
Country : US
Telephone Number : 318-692-0225
Fax Number : 318-855-3993
Provider Business Practice Location Address
First Line : 201 CENTURY VILLAGE BLVD STE 234
Second Line :
City : MONROE
State : LA
Zip : 71203-2008
Country : US
Telephone Number : 318-914-2632
Fax Number : 318-855-3998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2015
Last Update Date : 08/29/2022

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Directions to “ TAMERA TAYLOR ” Practice Location

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