Taylor Danielle Porter

Individual provider Active NPI Professional Counselor · Carrollton, VA

NPI 1215719281 · NPPES record last updated Oct 16, 2023

Key facts

NPI
1215719281
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0732010138 (VA)
Practice address
13381 Chesapeake PL
Carrollton, VA 23314-3388
Phone
(757) 375-4764
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0732010138VAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0732010138 VA Yes

Addresses

Primary practice location

13381 Chesapeake PL
Carrollton, VA 23314-3388

Mailing address

13381 Chesapeake PL
Carrollton, VA 23314-3388
Phone (757) 375-4764

Other providers in Carrollton, VA

All providers in Carrollton, VA · Professional Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.