Taylor, Thomas Wayne

Taylor, Thomas Wayne is an sole proprietor health care provider with primary practice located at 1100 W Highway 8 , Cleveland MS 38732-2261. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Taylor, Thomas Wayne can be contacted via phone (662) 402-8395.

Contact Information

Primary practice address
1100 W Highway 8 Cleveland MS 38732-2261
Fax: (662) 846-4314
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X T0164 Mississippi

Profile Details

NPI number 1528245743
LBN Legal business name Taylor, Thomas Wayne
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2008
Last updated Jan 30th, 2008 - about 16 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 1528245743 NPPES
Mississippi Other T0164 LICENSED MARIAGE & FAMILY

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