Taylor, Shasta Dennine
Taylor, Shasta Dennine is an sole proprietor health care provider with primary practice located at 13653 Crows Foot Ln , Princess Anne MD 21853-3211. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Taylor, Shasta Dennine can be contacted via phone (140) 845-1796.Contact Information
Primary practice address
13653 Crows Foot Ln
Princess Anne MD 21853-3211
Phone: (140) 845-1796
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCA2707 | Maryland |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LC8064 | Maryland |
Profile Details
NPI number | 1629746144 |
---|---|
LBN Legal business name | Taylor, Shasta Dennine |
Credentials | LCPC, LCADC, NCC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2021 |
Last updated | Aug 31st, 2021 - about 4 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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