Individual
MS. TERI TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW, CCDC
Contact information
Practice address
4700 N HABANA AVE STE 500, TAMPA, FL 33614-7120
(813) 801-3915
Mailing address
6132 FISHHAWK CROSSING BLVD, LITHIA, FL 33547-4880
(813) 662-9828
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0684
MD
104100000X
Social Worker
G12442
MD
Other
Enumeration date
04/13/2007
Last updated
11/13/2013
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