Shirley Evon Taybron in Fayetteville - Mental Health
Shirley Evon Taybron - NPI 1891991030
Shirley Evon Taybron is a Mental Health in Fayetteville, North Carolina. Shirley Evon Taybron practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Shirley Evon Taybron is 1891991030. The last update date is 2020-11-23.
Shirley Evon Taybron's current location address is Po Box 58531, Fayetteville, North Carolina. You can contact this provider via phone number 9108640390 and fax number 9108640396. The mailing address for Shirley Evon Taybron is Po Box 58531, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shirley Evon Taybron |
|---|---|
| Address | Po Box 58531, Fayetteville, North Carolina |
| Phone Number | 9108640390 |
| Fax Number | 9108640396 |
| Sole Proprietor | Y |
| Credentials | MED. NBCC |
NPI Number Detail
| NPI Number | 1891991030 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2020-11-23 |
Provider Mailing Address Detail
| Address | Po Box 58531 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283058531 |
| Phone Number | 9108640390 |
| Fax Number | 9108640396 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | S2018 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6103617 | NC | -- |
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What is the unique 10-digit identifier code assigned to Shirley Evon Taybron by the Centers for Medicare & Medicaid Services?
The Shirley Evon Taybron has been issued the NPI (National Provider Identifier) 1891991030 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Shirley Evon Taybron located?
The Shirley Evon Taybron is located at Po Box 58531, Fayetteville, NC 283058531.
What is the Shirley Evon Taybron's specialty and taxonomy code?
The Shirley Evon Taybron's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891991030 to Shirley Evon Taybron?
The Centers for Medicare & Medicaid Services originally issued the 1891991030 to Shirley Evon Taybron on 2007-06-25.
When was the Shirley Evon Taybron's information last updated?
The Shirley Evon Taybron's information was last updated on 2020-11-23.
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