# TAYLOR MADE COUNSELING SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023695004
- **Authorized official:** MRS. TUSHONDA FLEETON BOYD LCSW (OWNER)
- **Authorized official phone:** (228) 760-0262

## Contact information

- **Practice address:** 232 EISENHOWER DR STE B, BILOXI, MS 39531-3601
- **Practice address phone:** (601) 688-4118
- **Practice address fax:** (228) 220-4226
- **Mailing address:** PO BOX 6771, DIBERVILLE, MS 39540-6771
- **Mailing address phone:** (228) 760-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 03/27/2023