SHANDA MARIE MOBLEY-TAYLOR LPC
NPI 1730616004
Counselor - Professional in Rincon, GA

Active since May 17, 2017
5805 HIGHWAY 21 S STE 18-19, RINCON, GA 31326(912) 667-8806 Get Directions Write a Review

NPPES record last updated: May 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2022, Apr 24, 2020, May 17, 2017 (3 updates tracked since 2017).

About Shanda Marie Mobley-taylor Lpc NPPES

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

SHANDA MARIE MOBLEY-TAYLOR LPC (NPI 1730616004) is an individual professional provider in Rincon, Georgia, licensed in Georgia (009578) and active in the NPI registry since May 2017. She maintains a secondary practice location in Rincon.

NPPES Registry Identity

NPI1730616004
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSHANDA MARIE MOBLEY-TAYLORCredential: LPC
Location Address5805 HIGHWAY 21 S STE 18-19Rincon, GA 31326-5511
Mailing Address100 Autumn DrRincon, GA 31326-5675 · (912) 667-8806
Sole ProprietorYes
Enumeration DateMay 17, 2017
Last NPPES UpdateMay 4, 20223 updates tracked since enumeration
NPPES CertifiedMay 4, 2022
NPI 1730616004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · 009578
5805 HIGHWAY 21 S STE 18-19, Rincon, GA 31326

Secondary Practice Location 1

Location 11009 N Columbia AveRincon, GA 31326-6828 · Phone (912) 657-9613 · Fax (912) 826-0233

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 Shanda Mobley-taylor's NPI number?

The NPI number for Shanda Mobley-taylor is 1730616004. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Shanda Mobley-taylor located?

Shanda Mobley-taylor practices at 5805 Highway 21 S Ste 18-19, Rincon, GA 31326. The listed phone number is (912) 667-8806.

What is Shanda Mobley-taylor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shanda Mobley-taylor was last updated on May 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.