Individual
TAE'LOR ANN WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 578-8200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2204531
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283415
—
OH
Enumeration date
02/08/2018
Last updated
10/03/2022
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