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JAQUELL RENA TAYLOR
NPI 1093594145
Counselor - Mental Health in Fort Wayne, IN

Active since September 27, 2023
3822 VANCE AVE, FORT WAYNE, IN 46805(614) 207-0246 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaquell Rena Taylor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAQUELL RENA TAYLOR (NPI 1093594145) is an individual mental health provider in Fort Wayne, Indiana and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1093594145
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAQUELL RENA TAYLOR
Location Address3822 VANCE AVEFort Wayne, IN 46805-1642
Mailing Address3822 Vance AveFort Wayne, IN 46805-1642
Phone(614) 207-0246
Sole ProprietorYes
Enumeration DateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
✔ NPI 1093594145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3822 VANCE AVE, Fort Wayne, IN 46805
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAILORING MINDS LLC
Community/Behavioral Health
3822 VANCE AVE
FORT WAYNE, IN 46805
Allen County (260) 348-0463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaquell Taylor's NPI number?

The NPI number for Jaquell Taylor is 1093594145. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Jaquell Taylor located?

Jaquell Taylor practices at 3822 Vance Ave, Fort Wayne, IN 46805. The listed phone number is (614) 207-0246.

What is Jaquell Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jaquell Taylor was last updated on September 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.