CHARLIE RANDOLPH TAYLOR JR. MA, LCASA
NPI 1619416906
Counselor - Addiction (Substance Use Disorder) in Charlotte, NC

Active since February 20, 2017
517 CLANTON ROAD, CHARLOTTE, NC 28217(704) 332-9001 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charlie Randolph Taylor Jr. Ma, Lcasa NPPES

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

CHARLIE RANDOLPH TAYLOR JR. MA, LCASA (NPI 1619416906) is an individual addiction (substance use disorder) provider in Charlotte, North Carolina, licensed in North Carolina (22826) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1619416906
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLIE RANDOLPH TAYLOR JR.Credential: MA, LCASA
Location Address517 CLANTON ROADCharlotte, NC 28217
Mailing Address515 Clanton RdCharlotte, NC 28217-1309 · (704) 332-9001
Sole ProprietorYes
Enumeration DateFebruary 20, 2017
NPI 1619416906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in NC · 22826
517 CLANTON ROAD, Charlotte, NC 28217

Accepted Insurance

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 Charlie Taylor's NPI number?

The NPI number for Charlie Taylor is 1619416906. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Charlie Taylor located?

Charlie Taylor practices at 517 Clanton Road, Charlotte, NC 28217. The listed phone number is (704) 332-9001.

What is Charlie Taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Charlie Taylor accept?

Health plans from Blue Cross and Blue Shield of NC list Charlie Taylor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charlie Taylor was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.