Taylor Roe LCSW PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TAYLOR ROE LCSW PLLC

Practice address

3000 Old Canton Rd Ste 470
Jackson, MS 39216-4225

Phone

(346) 206-1650

NPI assigned

Aug 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Richard Taylor Roe, LCSWNPI 1639738974

Title

Owner

Phone

(346) 206-1650

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Taylor Roe, LCSW

  • Clinical Social Worker
  • Jackson, MS
  • NPI 1639738974
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1841918075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 OLD CANTON RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392163236",
            "telephone_number": "346-206-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OLD CANTON RD STE 470",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164225",
            "telephone_number": "346-206-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR ROE LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ROE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-206-1650",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tatum Medical Clinic
• Alia Tayara
• George Michael Taybos, DDS
• Ahmed Tayeh, MBBS
• Taylor Coleman, MD, PLLC
• Alex Barraza Taylor, CPNP-AC
• Alice Powell Taylor, R.D.
• Alison Nicole Taylor, APRN, PMHNP-BC
• Allison Taylor
• Andrew C Taylor, DMD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.