# CARING HANDS CHILDREN'S CLINIC, LLC

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

## Provider details

- **NPI number:** 1578993267
- **Authorized official:** MRS. DEONTRANESE TREVA TAYLOR CFNP (OWNER)
- **Authorized official phone:** (601) 754-0772

## Contact information

- **Practice address:** 314 MAIN STREET, SUITE D, MONTICELLO, MS 39654
- **Practice address phone:** (601) 754-0772
- **Mailing address:** PO BOX 1400, MONTICELLO, MS 39654-1400
- **Mailing address phone:** (601) 754-0772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0200X | Pediatric Registered Nurse | R865884 | MS | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013