MRS. SHIRLEY EVON TAYBRON MED. NBCC LCMHC-S NPI 1891991030

NPI Information

NPI: 1891991030
Provider Name: MRS. SHIRLEY EVON TAYBRON, MED. NBCC LCMHC-S
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5135 MORGANTON RD STE 102
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 864-0390
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MRS. Shirley Evon Taybron, MED. NBCC LCMHC-S is a mental health counselor in Fayetteville, NC. MRS. Shirley Evon Taybron, MED. NBCC LCMHC-S NPI is 1891991030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5135 MORGANTON RD STE 102
FAYETTEVILLE, NC
ZIP 28314-525
Phone: (910) 864-0390
Fax: (910) 401-1722

The enumeration date for this NPI number is 6/25/2007 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	S2018	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6103617	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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