Provider Demographics
NPI:1790050078
Name:MOYE, TAYLOE COMPTON (LCSW, LCAS)
Entity type:Individual
Prefix:
First Name:TAYLOE
Middle Name:COMPTON
Last Name:MOYE
Suffix:
Gender:F
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:PO BOX 864
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28388-0864
Mailing Address - Country:US
Mailing Address - Phone:910-986-0730
Mailing Address - Fax:844-469-1011
Practice Address - Street 1:780 NW BROAD ST
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-4102
Practice Address - Country:US
Practice Address - Phone:910-986-0730
Practice Address - Fax:844-469-1011
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21281101YA0400X
NCCO107111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)