Doctor Name: | AMY JOANN TAYLOR |
NPI Number: | 1932170503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801077319 |
Business Practice Address: | 6051 Frankfort Hwy Suite 200 Benzonia, MI - 496169558 |
Business Phone Number: | 2318822160 |
Business Fax Number: | |
Mailing Address: | 10838 Main St, Po Box 262 HONOR |
State: | MI |
Postal Code: | 496409598 |
Phone Number: | 2313258780 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6801077319 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |