Tayloe, Jeff

Tayloe, Jeff is an individual health care provider with primary practice located at 4005 Oleander Dr , Wilmington NC 28403-6816. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tayloe, Jeff can be contacted via phone (910) 790-9949.

Contact Information

Primary practice address
4005 Oleander Dr Wilmington NC 28403-6816
Phone: (910) 790-9949
Fax: (910) 790-9455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3408 North Carolina

Profile Details

NPI number 1447252515
LBN Legal business name Tayloe, Jeff
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jul 9th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447252515 NPPES
North Carolina MEDICAID 6102471

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