Provider Information for 1215557806
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CHERIE TAYLOR LPC
Sex: Female
NPI: 1215557806
Last Updated: 2023-03-30
Certification Date: 2023-03-30
Certification Date: 2023-03-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1215557806 | ||||||||||||
| Enumeration Date | 2020-04-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 4005 ELECTRIC RD STE 202 ROANOKE, VA 24018-8435 United States Phone: 540-988-4727 | Fax:540-887-3258 | ||||||||||||
| Primary Practice Address | 4005 ELECTRIC RD STE 202 ROANOKE, VA 24018-8435 United States Phone: 540-988-4727 | Fax:540-988-4595 | ||||||||||||
| Secondary Practice Address(es) | 3959 ELECTRIC RD STE 425 | ||||||||||||
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