# TAYLORMAYD, INC.

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

## Provider details

- **NPI number:** 1346379856
- **Authorized official:** MRS. MICHELLE BULLOCK B.S. CASAC-T (PROGRAM DIRECTOR)
- **Authorized official phone:** (718) 829-3617

## Contact information

- **Practice address:** 51 WESTCHESTER SQ, BRONX, NY 10461-3526
- **Practice address phone:** (718) 829-3617
- **Practice address fax:** (718) 829-2997
- **Mailing address:** 51 WESTCHESTER SQ, BRONX, NY 10461-3526
- **Mailing address phone:** (718) 829-3617
- **Mailing address fax:** (718) 829-2997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NY | Yes |

## Other

- **Enumeration date:** 03/02/2007
- **Last updated:** 08/22/2020