Individual
DR. TIYANA KIA CHANEY-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
601 S COLLEGE RD, WILMINGTON, NC 28403-3201
(910) 962-2901
Mailing address
304 HOLIDAY DR, HAMPSTEAD, NC 28443-3582
(910) 382-9450
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
1895
SC
103TH0100X
Health Service Psychologist
Primary
6689
NC
1041C0700X
Clinical Social Worker
16453
SC
1041C0700X
Clinical Social Worker
7392
TN
1041C0700X
Clinical Social Worker
CSW007453
GA
Other
Enumeration date
02/06/2014
Last updated
02/14/2025
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