Provider Demographics
NPI:1487004974
Name:HARRIS-BEALE, TAYLOR (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:
Last Name:HARRIS-BEALE
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 LANCASTER WAY
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4355
Mailing Address - Country:US
Mailing Address - Phone:561-603-6105
Mailing Address - Fax:
Practice Address - Street 1:741 US 1
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4508
Practice Address - Country:US
Practice Address - Phone:561-293-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SW 130991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical