Taylor, Denetra Quinnette

Taylor, Denetra Quinnette is an individual health care provider with primary practice located at 1905A Mission 66 , Vicksburg MS 39180-3711. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Taylor, Denetra Quinnette can be contacted via phone (601) 259-6566.

Contact Information

Primary practice address
1905A Mission 66 Vicksburg MS 39180-3711
Phone: (601) 259-6566
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0272 Mississippi

Profile Details

NPI number 1609086677
LBN Legal business name Taylor, Denetra Quinnette
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2007
Last updated Mar 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609086677 NPPES
Mississippi MEDICAID 00018209

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