| Taylor Roe Lcsw Pllc | |
|
3000 Old Canton Rd Ste 470 Jackson MS 39216-4225 | |
| (346) 206-1650 | |
| Not Available |
| Full Name | Taylor Roe Lcsw Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3000 Old Canton Rd Ste 470, Jackson, Mississippi |
| Authorized Official Name and Position | Richard Taylor Roe (OWNER) |
| Authorized Official Contact | 3462061650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Roe Lcsw Pllc 3409 Old Canton Rd Jackson MS 39216-3236 Ph: (346) 206-1650 | Taylor Roe Lcsw Pllc 3000 Old Canton Rd Ste 470 Jackson MS 39216-4225 Ph: (346) 206-1650 |
| NPI Number | 1841918075 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 01/23/2024 |
| Certification Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841918075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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