Organization
CLARE TAYLOR COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARE TAYLOR LPC-MHSP (ADMINISTRATOR)
(931) 553-3029
Entity
Organization
Contact information
Practice address
119 N 3RD ST OFC 24, CLARKSVILLE, TN 37040-3401
(931) 553-3029
(931) 241-5406
Mailing address
119 N 3RD ST OFC 24, CLARKSVILLE, TN 37040-3401
(931) 553-3029
(931) 241-5406
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044025
—
TN
Enumeration date
08/27/2018
Last updated
06/28/2019
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