Individual
TARA ALESIA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
215 RONNIE CT STE C, MYRTLE BEACH, SC 29579-4204
(843) 894-0000
Mailing address
PO BOX 16091, SURFSIDE BEACH, SC 29587-6091
(843) 894-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7716
SC
101YP2500X
Professional Counselor
Primary
7716
SC
Other
Enumeration date
01/17/2020
Last updated
04/02/2026
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