Provider Demographics
NPI:1356302335
Name:TAYLOR, JAMES WILLIAMSON (LPC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WILLIAMSON
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:845 MOYER RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-3142
Mailing Address - Country:US
Mailing Address - Phone:757-833-3319
Mailing Address - Fax:
Practice Address - Street 1:3755 E VIRGINIA BEACH BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-3238
Practice Address - Country:US
Practice Address - Phone:757-664-7699
Practice Address - Fax:757-441-5546
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002988101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional