Provider Demographics
NPI:1770042244
Name:TAYLOR, EMILY J (LCMHC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:J
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 1:1157 HUFFMAN MILL RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8862
Mailing Address - Country:US
Mailing Address - Phone:336-310-5464
Mailing Address - Fax:336-218-9618
Practice Address - Street 1:1157 HUFFMAN MILL RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-8862
Practice Address - Country:US
Practice Address - Phone:336-310-5464
Practice Address - Fax:336-218-9618
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14579101YP2500X
NC14579101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional