Provider Demographics
NPI:1003654609
Name:TAYLOR, SABRINA ANN (MHA, MS, LMSW)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:ANN
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MHA, MS, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8372 PARAMOUNT PT
Mailing Address - Street 2:
Mailing Address - City:WINNABOW
Mailing Address - State:NC
Mailing Address - Zip Code:28479-5855
Mailing Address - Country:US
Mailing Address - Phone:319-464-0018
Mailing Address - Fax:
Practice Address - Street 1:8372 PARAMOUNT PT
Practice Address - Street 2:
Practice Address - City:WINNABOW
Practice Address - State:NC
Practice Address - Zip Code:28479-5855
Practice Address - Country:US
Practice Address - Phone:319-464-0018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA090167104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker