| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NICOLE MAUPIN TAYLOR | 1295229391 | 2024-03-21 |
Nicole Maupin Taylor is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1295229391. Registration indicates Nicole Maupin Taylor is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Nicole Maupin Taylor LPC, NCC |
| Other Provider Name | Nicole Marie Maupin |
| Practice Office Address | 137 LAXTON RD STE 200 LYNCHBURG, VA US |
| Practice Office Telephone | 4346040134 |
| Practice Office Fax | 4343005558 |
| Mailing Address | 137 LAXTON RD STE 200 LYNCHBURG, VA 245025294 US |
| Business Telephone | 4346040134 |
| Business Fax | 4343005558 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 137 Laxton Rd Ste 200 | Lynchburg, VA 245025294 | 4346040134 / 4343005558 |
| 1048 Oakmont Cir | Lynchburg, VA 245022765 | 4346040134 / 4343005558 |
| 371 Oakdale Cir | Lynchburg, VA 245027348 | 4342372655 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 0701007716
VA |