Taylor, Ericniesha

Taylor, Ericniesha is an sole proprietor health care provider with primary practice located at 420 Polifka Dr , Shaw Afb SC 29152-5100. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taylor, Ericniesha can be contacted via phone (803) 895-6356.

Contact Information

Primary practice address
420 Polifka Dr Shaw Afb SC 29152-5100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW61040860 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 21703 Maryland
Agencies / Community/Behavioral Health 251S00000X SC60721786 Washington

Profile Details

NPI number 1023557170
LBN Legal business name Taylor, Ericniesha
Credentials LCSW-C, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2017
Last updated Sep 9th, 2026 - about last month

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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