Individual
AMY JOANN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7985 MACKINAW TRL, CADILLAC, MI 49601-8111
(231) 876-6200
(231) 876-6299
Mailing address
3782 MOMENTUM PL, CHICAGO, IL 60689-5337
(231) 876-7234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6801077319
MI
1041C0700X
Clinical Social Worker
Primary
6801077319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801086768
STATE LICENSE NUMBER
MI
01
—
AT077319
3RD PARTY IDENTIFIER
MI
Enumeration date
01/31/2006
Last updated
02/06/2017
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