Individual
MS. CARLA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSATP
Contact information
Practice address
4212 PARK PLACE CT., GLEN ALLEN, VA 23060
(804) 315-3135
(804) 728-1086
Mailing address
3709 PEPPERCORN WAY, CHESAPEAKE, VA 23321
(757) 641-2446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0718000620
VA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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