Organization
TAYLOR COUNSELING SERVICES TAYLOR TLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY TAYLOR LISAC (OWNER)
(928) 460-0593
Entity
Organization
Contact information
Practice address
1000 AINSWORTH DR STE B215, PRESCOTT, AZ 86305-3411
(928) 445-0744
(928) 445-0537
Mailing address
1000 AINSWORTH DR STE B215, PRESCOTT, AZ 86305-3411
(928) 445-0744
(928) 445-0537
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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