Individual
DAWAYNE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4245 N CENTRAL EXPY STE 490, DALLAS, TX 75205-4231
(804) 551-4158
Mailing address
701 E FRANKLIN ST STE 710, RICHMOND, VA 23219-2511
(804) 551-4158
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
TX
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
TX
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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