Individual
BLAKE WILLIAM TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4083 CLOUD SPRINGS RD, RINGGOLD, GA 30736-8411
(877) 654-6396
Mailing address
603 WAYSIDE DR, FORT OGLETHORPE, GA 30742-7018
(762) 887-0938
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/14/2025
Last updated
06/14/2025
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