Most Relevant Information
Provider Data
| NPI Number: | 1003582115 |
| Provider Name: | MITCHELL TAYLOR LPC-A |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | 86759 |
Most Important Dates
| Enumeration Date: | 08/18/2021 |
| Last Updated: | 08/18/2021 |
Provider Practice Location
3740 N JOSEY LN STE 145
CARROLLTON
TX
750072471
Practice Location Phone/Fax
| Phone: | 4697012333 |
| Fax: |
Provider Mailing Location
3740 N JOSEY LN STE 145
CARROLLTON
TX
750072471
Provider Mailing Phone/Fax
| Phone: | 4697012333 |
| Fax: |