Provider Demographics
NPI:1811415961
Name:TAYLOR-GLOVER, TORA L'ADELE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:TORA
Middle Name:L'ADELE
Last Name:TAYLOR-GLOVER
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:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:SAXAPAHAW
Mailing Address - State:NC
Mailing Address - Zip Code:27340-0385
Mailing Address - Country:US
Mailing Address - Phone:919-360-0032
Mailing Address - Fax:
Practice Address - Street 1:947 JILL DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-9849
Practice Address - Country:US
Practice Address - Phone:919-360-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-08
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0093501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical