| Christina L Taylor, Llc | |
|
282 E Main St Newark DE 19711-7311 | |
| (443) 987-6557 | |
| (410) 793-1599 |
| Full Name | Christina L Taylor, Llc |
|---|---|
| Speciality | Counselor |
| Location | 282 E Main St, Newark, Delaware |
| Authorized Official Name and Position | Christina Lolita Taylor (OWNER) |
| Authorized Official Contact | 4439876557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina L Taylor, Llc 2 Hullihen Dr Elkton MD 21921-2003 Ph: (240) 481-4525 | Christina L Taylor, Llc 282 E Main St Newark DE 19711-7311 Ph: (443) 987-6557 |
| NPI Number | 1144786302 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 02/13/2019 |
| Medicare PECOS PAC ID | 5193117240 |
|---|---|
| Medicare Enrollment ID | O20220121001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144786302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Danielle Christine Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831633833 PECOS PAC ID: 2062772023 Enrollment ID: I20220121001271 |
| Provider Name | Christina Lolita Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518395698 PECOS PAC ID: 6002208154 Enrollment ID: I20240112000138 |
| Provider Name | Tamika R Gilbert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902408115 PECOS PAC ID: 7719324524 Enrollment ID: I20240327004148 |
| Provider Name | Susan Katzmire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952869356 PECOS PAC ID: 9739528084 Enrollment ID: I20240418003271 |
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