NPI 1013422625

Amquita Taylor, MDE

Practitioner Counselor Clarksdale, MS

Practice location

Address: 122 Desoto Ave STE 109, Clarksdale, MS 38614-4440
Phone: (662) 592-5397
Mailing address: 860 East River Place Suite 100, Jackson, MS 39202-3920

Registered specialties (2)

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in Mississippi →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Registry record

NPI: 1013422625
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Dec 2017
Record last updated: 16 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.