Self, Taylor
Self, Taylor is an individual health care provider with primary practice located at 5200 Paramount Pkwy Ste 200 , Morrisville NC 27560-5470. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Self, Taylor can be contacted via phone (919) 651-8401.Contact Information
Primary practice address
5200 Paramount Pkwy Ste 200
Morrisville NC 27560-5470
Phone: (919) 651-8401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 11100 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCAS-21523 | North Carolina |
Profile Details
| NPI number | 1871928705 |
|---|---|
| LBN Legal business name | Self, Taylor |
| Credentials | LCMHC, LCAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2013 |
| Last updated | Jan 22nd, 2022 - about 2 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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