JACQUELINE MARIE TAYLOR (NPI# 1114424272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114424272 |
| Entity Type | Individual |
| Full Name | JACQUELINE MARIE TAYLOR |
| Credential | LMHC |
| Practice Address |
1769 E Moody Blvd Bunnell FL 32110-6355 |
| Mailing Address |
31 Ryding Ln Palm Coast FL 32164-6012 |
| Practice Telephone | 3864377540 |
| Mailing Telephone | 3862643464 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
15415 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 04-802-04-0329 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4 Office Park Dr Ste 202, Palm Coast, FL 321373831 | 3863871783 | |
| 3947 Salisbury Rd, Jacksonville, FL 322166115 | 9042963533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083191944 | Jacqueline Taylor | Community Health Worker | 700 W Judge Perez Dr Ste 204, Chalmette, LA 70043-4872 | 2018-07-24 |
| 1841413648 | Jacqueline M Taylor | Social Worker | 5720 Nw 81st Ave, Tamarac, FL 33321-4525 | 2007-04-10 |
| 1972586113 | Jacqueline L Taylor | Obstetrics & Gynecology | 1435 E 12 Mile Rd, Madison Heights, MI 48071-2653 | 2005-11-22 |
| 1053951624 | Jacqueline Taylor | Residential Treatment Facility, Emotionally Disturbed Children | 1483 Alva St, Carpinteria, CA 93013-1501 | 2020-01-13 |
| 1902441827 | Jacqueline Taylor | Nurse Practitioner | 760 Bayou Pines East Dr, Lake Charles, LA 70601-7184 | 2019-11-14 |
| 1932670858 | Jacqueline Taylor | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2018-12-17 |
| 1053813691 | Jacqueline Taylor | Chore Provider | 1785 E Sahara Ave Ste 485, Las Vegas, NV 89104-3757 | 2018-02-28 |
| 1174049894 | Jacqueline Michele Taylor | Social Worker | 24600 Northwestern Hwy, Southfield, MI 48075-2471 | 2017-08-15 |
| 1962927764 | Jacqueline Elaine Taylor | Optometrist | 22 N Jackson St, Belleville, IL 62220-1425 | 2017-08-14 |
| 1780034967 | Jacqueline Taylor | Nurse's Aide | 4300 Sw 13th St, Gainesville, FL 32608-4006 | 2016-06-17 |
| Street Address |
1769 E MOODY BLVD |
| City | BUNNELL |
| State | FL |
| Zip Code | 32110-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669017349 | Ashley Jessica Harris | Nurse Practitioner | 2795 County Road 13, Bunnell, FL 32110 | 2019-11-17 |
| 1407321698 | Medical Risk Solutions | Family Medicine | 1769 E. Moody Blvd, Bunnell, FL 32110 | 2018-10-04 |
| 1518225408 | Christopher Manly Deck | Occupational Therapy Assistant | 5795 Chestnut Ave, Bunnell, FL 32110 | 2012-04-27 |
| 1588947337 | Flagler Mental Health Center, Pa | Community/Behavioral Health | 2729 E. Moody Blvd Ste 105, Bunnell, FL 32110 | 2011-09-27 |
| 1922273606 | Nancy Hutt Culver | Technician | 2384 County Rd 305, Bunnell, FL 32110 | 2008-04-24 |
| 1487772984 | Jennifer Lois Fraser | Dentist | 35 Caroline Street, Bunnell, FL 32110 | 2007-03-26 |
| 1750463154 | Jennifer L Thornton | Chiropractor | 4721 East Moody Blvd, Suite101, Bunnell, FL 32110 | 2006-10-19 |
| 1720175649 | Bunnell Medical Center Inc | Family Medicine | 700 E. Moody Blvd, Bunnell, FL 32110 | 2006-10-10 |
| 1245326990 | Patrick Gerald Reed | Chiropractor | 4601 East Highway 100, Suite G4, Bunnell, FL 32110 | 2006-10-04 |
| 1013000652 | Flagler Diagnostic & Sleeping Disorder, Inc, Inc | Clinic/Center | 4721 E. Moody Blvd Suite 104, Bunnell, FL 32110 | 2006-10-02 |
| Find all providers in zip 32110 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083091417 | Jennifer Hiers | Counselor | 4721 E Moody Blvd Ste 204, Bunnell, FL 32110-7706 | 2015-05-06 |
| 1598826323 | Sophia Xiques Mas | Counselor | 301 Justice Ln, Bunnell, FL 32110-4487 | 2006-12-13 |
| 1285107805 | Nicole Lucente | Counselor | 301 Justice Ln, Bunnell, FL 32110-4487 | 2019-01-07 |
| 1326572462 | Kelly Kraus | Counselor | 301 Justice Ln, Bunnell, FL 32110 | 2017-04-15 |
| 1710433354 | Pauleetta Lynn Whittaker | Counselor | 4721 E Moody Blvd Ste 204, Bunnell, FL 32110-7706 | 2016-09-01 |
| 1134533219 | Amy Leigh Miller | Counselor | 301 Justice Ln, Bunnell, FL 32110-4487 | 2014-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.