Individual
CHARESE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
88 LINDSEY LN STE C, SAINT MARYS, GA 31558-1725
(912) 552-7435
(912) 341-6794
Mailing address
88 LINDSEY LN STE C, SAINT MARYS, GA 31558-1725
(912) 552-7435
(912) 341-6794
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
6956
KY
106H00000X
Marriage & Family Therapist
0818
KY
106H00000X
Marriage & Family Therapist
Primary
MFT001835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003243551C
—
GA
05
—
1033275342
—
KY
05
—
1265598270
—
KY
05
—
1477618718
—
KY
05
—
1558591669
—
KY
05
—
1740554864
—
KY
05
—
61-0471572
—
KY
Enumeration date
01/06/2010
Last updated
01/23/2026
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