| Doctor Name: | MS. MONIQUE LAGARDE-TAYLOR |
| NPI Number: | 1023397122 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LLMSW |
| License Number: | 6801091500 |
| Business Practice Address: | 1424 E 11 Mile Rd Royal Oak, MI - 480672026 |
| Business Phone Number: | 2485484044 |
| Business Fax Number: | 2485489239 |
| Mailing Address: | 1424 E 11 Mile Rd, ROYAL OAK |
| State: | MI |
| Postal Code: | 480672026 |
| Phone Number: | 2485484044 |
| Fax Number: | 2485489239 |
| NPI Enumeration Date: | 08/08/2011 |
| NPI Last Update Date: | 08/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6801091500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |