Provider Demographics
NPI:1114655198
Name:LAIRD, ALYMARIE TAYLOR (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALYMARIE
Middle Name:TAYLOR
Last Name:LAIRD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:AYLMARIE
Other - Middle Name:TAYLOR
Other - Last Name:UHLHORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2917 N HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:TN
Mailing Address - Zip Code:38305-3407
Mailing Address - Country:US
Mailing Address - Phone:731-300-2627
Mailing Address - Fax:
Practice Address - Street 1:33 MURRAY GUARD DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:TN
Practice Address - Zip Code:38305-3610
Practice Address - Country:US
Practice Address - Phone:731-300-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-09
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN110281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical