Provider Demographics
NPI:1295421766
Name:TAYLOR, ZARRIA JOI
Entity type:Individual
Prefix:
First Name:ZARRIA
Middle Name:JOI
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 W 11TH ST
Mailing Address - Street 2:
Mailing Address - City:PORTAGEVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63873-1172
Mailing Address - Country:US
Mailing Address - Phone:573-391-3274
Mailing Address - Fax:
Practice Address - Street 1:206 W 11TH ST
Practice Address - Street 2:
Practice Address - City:PORTAGEVILLE
Practice Address - State:MO
Practice Address - Zip Code:63873-1172
Practice Address - Country:US
Practice Address - Phone:573-391-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker