Organization
TAYLOR MADE COUNSELING & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE P TAYLOR LCSW (CEO/OWNER)
(479) 317-1398
Entity
Organization
Contact information
Practice address
116 S FRONT ST, DARDANELLE, AR 72834-4028
(479) 317-1398
Mailing address
20 JOSH CIR, RUSSELLVILLE, AR 72802-9431
(479) 317-1398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
07/09/2020
Last updated
07/15/2020
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