Provider Demographics
NPI:1518620384
Name:TAYLOR, T'SHELLE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:T'SHELLE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11971 NW 2ND MNR
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-8014
Mailing Address - Country:US
Mailing Address - Phone:954-940-0287
Mailing Address - Fax:
Practice Address - Street 1:1 ALHAMBRA PLZ STE PH
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-5227
Practice Address - Country:US
Practice Address - Phone:510-345-4379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-19
Last Update Date:2023-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT4163106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist