Provider Demographics
NPI:1184000473
Name:TAYLOR, CHARLOTTE LOUISE (LCMHC)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:LOUISE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 DEAVERVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-1313
Mailing Address - Country:US
Mailing Address - Phone:828-450-8759
Mailing Address - Fax:
Practice Address - Street 1:354 DEAVERVIEW RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-1313
Practice Address - Country:US
Practice Address - Phone:828-450-8759
Practice Address - Fax:828-383-9409
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11719101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional