Organization
TAYLOR ROE LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD TAYLOR ROE LCSW (OWNER)
(346) 206-1650
Entity
Organization
Contact information
Practice address
3000 OLD CANTON RD STE 470, JACKSON, MS 39216-4225
(346) 206-1650
Mailing address
3409 OLD CANTON RD, JACKSON, MS 39216-3236
(346) 206-1650
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
01/23/2024
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