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TAILEY RENEE FERGUSON
NPI 1487454799
Counselor in Naylor, GA

Active since March 17, 2025
5904 LAKE SHORE DR, NAYLOR, GA 31641(662) 554-2109(662) 554-2109 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tailey Renee Ferguson NPPES

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

TAILEY RENEE FERGUSON (NPI 1487454799) is an individual counselor in Naylor, Georgia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1487454799
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTAILEY RENEE FERGUSON
Location Address5904 LAKE SHORE DRNaylor, GA 31641-2562
Mailing Address5904 Lake Shore DrNaylor, GA 31641-2562 · (662) 554-2109 · Fax (662) 554-2109
Phone(662) 554-2109
Fax(662) 554-2109
Sole ProprietorYes
Enumeration DateMarch 17, 2025
NPPES CertifiedMarch 16, 2025
✔ NPI 1487454799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
5904 LAKE SHORE DR, Naylor, GA 31641
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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 Tailey Ferguson's NPI number?

The NPI number for Tailey Ferguson is 1487454799. It was assigned to this individual provider in the NPPES registry on March 17, 2025.

Where is Tailey Ferguson located?

Tailey Ferguson practices at 5904 Lake Shore Dr, Naylor, GA 31641. The listed phone number is (662) 554-2109.

What is Tailey Ferguson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Tailey Ferguson was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.