Individual provider · Type 1 NPI

Eugenie Provosty Taylor, LICSW

Mental Health Counselor · Charleston, WV

NPI number 1235677725 Active

Practice location

16 Leon Sullivan Way, Suite 300
Charleston, WV 25301-2402

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XDP00939976 (WV)

Mental Health Counselor: Definition to come...

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About NPI 1235677725

Eugenie Provosty Taylor, LICSW's National Provider Identifier is 1235677725, issued on Feb 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Charleston, WV. The record was last updated on Feb 6, 2017.