Individual
CHAUNTAE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
133 EMERALD LOCH LN, RICHMOND, TX 77469-4265
(832) 687-7339
Mailing address
24301 BRAZOS TOWN CROSSING, #500-12, ROSENBERG, TX 77471
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
06/27/2017
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