Taylor, Ericniesha
Taylor, Ericniesha is an sole proprietor health care provider with primary practice located at 1061 Harmon Ave , Fort Stewart GA 31314-5641. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Taylor, Ericniesha can be contacted via phone (912) 435-6965.Contact Information
Primary practice address
1061 Harmon Ave
Fort Stewart GA 31314-5641
Phone: (912) 435-6965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | SC60721786 | Washington |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 21703 | Maryland |
Profile Details
| NPI number | 1023557170 |
|---|---|
| LBN Legal business name | Taylor, Ericniesha |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2017 |
| Last updated | Sep 6th, 2023 - about 3 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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