Black, Taylor Michelle

Black, Taylor Michelle is an individual health care provider with primary practice located at 2220 Washington Ave , Conway AR 72032-2762. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Taylor Michelle can be contacted via phone (501) 679-0232.

Contact Information

Primary practice address
2220 Washington Ave Conway AR 72032-2762
Phone: (501) 679-0232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 202118 Arkansas

Profile Details

NPI number 1447922935
LBN Legal business name Black, Taylor Michelle
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2021
Last updated Oct 29th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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