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Organization
TAYLORED MINDS THERAPY PLLC
Active
Organization
TAYLORED MINDS THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNITA JENEEN TAYLOR LCSW (MANAGING MEMBER)
(919) 798-3997
Entity
Organization
Contact information
Practice address
5306 SIX FORKS RD STE 107, RALEIGH, NC 27609-4468
(919) 798-3997
Mailing address
2403 KASOTA LN, RALEIGH, NC 27610-7197
(919) 798-3997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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