Organization
TAYLORMADE BEHAVIORAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BROWN (BILLING SPECIALIST)
(667) 678-4050
Entity
Organization
Contact information
Practice address
86 PEYTON ST, DOVER, DE 19901-5297
(484) 840-3354
Mailing address
86 PEYTON ST, DOVER, DE 19901-5297
(484) 840-3354
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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