Provider Demographics
NPI:1427934082
Name:TAYLOR MENTAL HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:TAYLOR MENTAL HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:SHONA
Authorized Official - Middle Name:PAULA
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, CRNP, PMHNP-BC
Authorized Official - Phone:215-267-7511
Mailing Address - Street 1:500 OFFICE CENTER DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3234
Mailing Address - Country:US
Mailing Address - Phone:215-267-7511
Mailing Address - Fax:215-902-4859
Practice Address - Street 1:500 OFFICE CENTER DR STE 400
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3234
Practice Address - Country:US
Practice Address - Phone:215-267-7511
Practice Address - Fax:215-902-4859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-11
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)