Provider Demographics
NPI:1588172258
Name:TAYLOR, MECHELLE
Entity type:Individual
Prefix:MRS
First Name:MECHELLE
Middle Name:
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MECHELLE
Other - Middle Name:
Other - Last Name:PAUL JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15447 ANACAPA RD STE 102-D2
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-2481
Mailing Address - Country:US
Mailing Address - Phone:909-654-0798
Mailing Address - Fax:
Practice Address - Street 1:15447 ANACAPA RD STE 102-D2
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-2481
Practice Address - Country:US
Practice Address - Phone:909-654-0798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA152085106H00000X
CA110746106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist