Provider Demographics
NPI:1992590780
Name:TAYLORED MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:TAYLORED MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT AGENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:207-577-4012
Mailing Address - Street 1:26 CROWELL RD
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-2238
Mailing Address - Country:US
Mailing Address - Phone:207-577-4012
Mailing Address - Fax:
Practice Address - Street 1:38 ROUTE 134 UNIT 10
Practice Address - Street 2:
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-3818
Practice Address - Country:US
Practice Address - Phone:207-577-4012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty