Individual
JEREMI TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 W 2ND ST STE 21, MESA, AZ 85201-6552
(623) 287-9819
(833) 664-4074
Mailing address
245 W 2ND ST STE 21, MESA, AZ 85201-6552
(623) 287-9819
(833) 664-4074
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
AZ
172V00000X
Community Health Worker
Primary
—
AZ
175T00000X
Peer Specialist
—
AZ
251B00000X
Case Management Agency
—
AZ
251S00000X
Community/Behavioral Health Agency
—
AZ
261QC1500X
Community Health Clinic/Center
—
AZ
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
02/27/2026
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