Provider Demographics
NPI:1386406700
Name:YARBOROUGH, TAYLOR GRACE (CIT)
Entity type:Individual
Prefix:MRS
First Name:TAYLOR
Middle Name:GRACE
Last Name:YARBOROUGH
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Gender:F
Credentials:CIT
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Mailing Address - Street 1:30940 HIGHWAY 1064
Mailing Address - Street 2:
Mailing Address - City:TICKFAW
Mailing Address - State:LA
Mailing Address - Zip Code:70466-3802
Mailing Address - Country:US
Mailing Address - Phone:985-634-5134
Mailing Address - Fax:888-850-3349
Practice Address - Street 1:10473 OLD HAMMOND HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70816-8264
Practice Address - Country:US
Practice Address - Phone:225-900-8545
Practice Address - Fax:888-850-3498
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)