Taylor, Gregory Scott
Taylor, Gregory Scott is an sole proprietor health care provider with primary practice located at 1874 Se Port St Lucie Blvd , Port St Lucie FL 34952-5545. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Taylor, Gregory Scott can be contacted via phone (772) 337-7676.Contact Information
Primary practice address
1874 Se Port St Lucie Blvd
Port St Lucie FL 34952-5545
Phone: (772) 337-7676
Fax: (772) 337-9034
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW830 | Florida |
Profile Details
NPI number | 1720163983 |
---|---|
LBN Legal business name | Taylor, Gregory Scott |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 26th, 2006 |
Last updated | May 10th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1720163983 | NPPES |
Florida | Other | Z154G | FLORIDA BCBS |
Florida | Other | AK132Z | FLORIDA BCBS |
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