Provider Demographics
NPI:1205071537
Name:TAYLOR, ZEBEDEE (LCSW, LCAS)
Entity type:Individual
Prefix:DR
First Name:ZEBEDEE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:LCSW, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 E WATER ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-1330
Mailing Address - Country:US
Mailing Address - Phone:252-793-6500
Mailing Address - Fax:252-793-6501
Practice Address - Street 1:106 E WATER ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962-1330
Practice Address - Country:US
Practice Address - Phone:252-793-6500
Practice Address - Fax:252-793-6501
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC414101YA0400X
NCC0008481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)