Organization
JENNIFER JO TAYLOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JO TAYLOR MA (LPC)
(256) 651-2413
Entity
Organization
Contact information
Practice address
200 RUSSELL ST NE, HUNTSVILLE, AL 35801-3602
(256) 651-2413
Mailing address
192 MINNIE BROWN RD, ARDMORE, TN 38449-3040
(256) 651-2413
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003175100
NPI
—
Enumeration date
09/30/2019
Last updated
09/30/2019
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