Individual
DEVYNNE TAYLOR-FAYE ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 E MAIN ST, PIKETON, OH 45661-8018
(740) 395-1383
Mailing address
176 SIMPSON RD, JACKSON, OH 45640-9498
(740) 395-1383
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2506890
OH
101YM0800X
Mental Health Counselor
C.2405559-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/01/2023
Last updated
04/15/2025
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