Individual
MRS. AMANDA G. TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CAP
Contact information
Practice address
99 WAYLAND AVE, PROVIDENCE, RI 02906-4314
(401) 660-8821
Mailing address
99 WAYLAND AVE, PROVIDENCE, RI 02906-4314
(401) 660-8821
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MT00202
RI
106H00000X
Marriage & Family Therapist
MT2811
FL
Other
Enumeration date
12/15/2009
Last updated
07/13/2020
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