Individual
MELINDA G TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC LMFT
Contact information
Practice address
1110 W B ST, SUITE K, RUSSELLVILLE, AR 72801-3506
(479) 858-7111
(479) 858-6211
Mailing address
1110 W B ST, SUITE K, RUSSELLVILLE, AR 72801-3506
(479) 858-7111
(479) 858-6211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P0601001
AR
106H00000X
Marriage & Family Therapist
M0601001
AR
Other
Enumeration date
10/24/2006
Last updated
12/14/2008
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