Provider Demographics
NPI:1922579424
Name:VINSON, TAYLOR BRIANNA (LCMHC)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:BRIANNA
Last Name:VINSON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:MISS
Other - First Name:TAYLOR
Other - Middle Name:
Other - Last Name:CUMMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:135 PLANTERS DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-9789
Mailing Address - Country:US
Mailing Address - Phone:704-345-8412
Mailing Address - Fax:
Practice Address - Street 1:169 GATEWAY BLVD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5540
Practice Address - Country:US
Practice Address - Phone:704-303-1303
Practice Address - Fax:704-831-5308
Is Sole Proprietor?:No
Enumeration Date:2018-12-09
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14247101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional