Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersCONSTANCE EUGENIA TAYLOR MS
Addiction Substance Use Disorder
Gulfport, Mississippi
Provider NPI: 1588680748
Provider Information:CONSTANCE EUGENIA TAYLOR MS
Gender: F
Not Sole Proprietor
Practice Location:
1600 BROAD AVE GULFPORT, MS 39501 US
Tel: 228-863-1132 Fax: 228-865-1700
Business Mailing Address:
1600 BROAD AVE GULFPORT, MS 39501 US
Tel: 228-863-1132 Fax: 228-865-1700
Entity Type: Individual
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00018213 | MS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
