Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor |
NPI | 1326412024 |
---|---|
Provider Name | Dana L Taylor |
First Address | Savannah, GA 31419-2207 |
Second Address | Savannah, GA 31419-2207 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2015 |
Last Update Date | 07/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
LPC008716 | GEORGIA SECRETARY OF STATE (01) | GA |