Taylor, Charese

Taylor, Charese is an individual health care provider with primary practice located at 8359 Beacon Blvd Ste 416 , Fort Myers FL 33907. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Taylor, Charese can be contacted via phone (502) 224-2082.

Contact Information

Primary practice address
8359 Beacon Blvd Ste 416 Fort Myers FL 33907
Phone: (502) 224-2082
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6956 Kentucky
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0818 Kentucky

Profile Details

NPI number 1235469719
LBN Legal business name Taylor, Charese
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2010
Last updated Oct 3rd, 2019 - about 5 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 1235469719 NPPES
Kentucky MEDICAID 1265598270
Kentucky MEDICAID 1033275342
Kentucky MEDICAID 61-0471572
Kentucky MEDICAID 1740554864
Kentucky MEDICAID 1558591669
Kentucky MEDICAID 1477618718

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