Provider Demographics
NPI:1871219253
Name:TAYLOR, CIERA STAR (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:CIERA
Middle Name:STAR
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4035 RIVER BREEZE CIR
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23321-3176
Mailing Address - Country:US
Mailing Address - Phone:757-957-3191
Mailing Address - Fax:
Practice Address - Street 1:4035 RIVER BREEZE CIR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23321-3176
Practice Address - Country:US
Practice Address - Phone:757-957-3191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor