JEREMIAH TAYLOR LMFT NPI 1922365691

NPI Information

NPI: 1922365691
Provider Name: JEREMIAH TAYLOR, LMFT
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
812 OAK ST
CONWAY, AR
ZIP 72032
Phone: (501) 327-7100
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Jeremiah Taylor, LMFT is a professional counselor in Conway, AR. Jeremiah Taylor, LMFT NPI is 1922365691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

812 OAK ST
CONWAY, AR
ZIP 72032-408
Phone: (501) 327-7100
Fax: (501) 327-7121

The enumeration date for this NPI number is 4/18/2012 and was last updated on 12/27/2018.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0261L	ARKANSAS	No
2	106H00000X	Marriage & Family Therapist		M0708004	ARKANSAS	No
3	101YP2500X	Counselor	Professional	P1810139	ARKANSAS	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	0261L	OTHER	ARKANSAS	LICENSED ALCOHOLISM AND DRUG ABUSE COUNSELOR
2	M0708004	OTHER	ARKANSAS	LMFT

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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