| Taylor Made Counseling Services Llc | |
|
232 Eisenhower Dr Ste B Biloxi MS 39531-3601 | |
| (601) 688-4118 | |
| (228) 220-4226 |
| Full Name | Taylor Made Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 232 Eisenhower Dr Ste B, Biloxi, Mississippi |
| Authorized Official Name and Position | Tushonda Fleeton Boyd (OWNER) |
| Authorized Official Contact | 2287600262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Made Counseling Services Llc Po Box 6771 Diberville MS 39540-6771 Ph: (228) 760-0262 | Taylor Made Counseling Services Llc 232 Eisenhower Dr Ste B Biloxi MS 39531-3601 Ph: (601) 688-4118 |
| NPI Number | 1023695004 |
|---|---|
| Provider Enumeration Date | 03/26/2021 |
| Last Update Date | 03/27/2023 |
| Certification Date | 03/27/2023 |
| Medicare PECOS PAC ID | 5799143996 |
|---|---|
| Medicare Enrollment ID | O20230621000393 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023695004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Tushonda Fleeton Boyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700966850 PECOS PAC ID: 7416315619 Enrollment ID: I20230727000243 |
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