Ms Taylor Charisse Kennerly, LGPC - Counselor in Waldorf, MD

Ms Taylor Charisse Kennerly, LGPC is a Counselor - Mental Health based in Waldorf, Maryland. Ms Taylor Charisse Kennerly is licensed to practice in Maryland (license number LGP11841) and her current practice location is 3261 Old Washington Rd Ste 3021, Waldorf, Maryland. She can be reached at her office (for appointments etc.) via phone at (240) 280-3245.

NPI number for Ms Taylor Charisse Kennerly is 1164165056 and her current mailing address is 4351 Telfair Blvd Apt G101, Camp Springs, Maryland. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164165056.

Contact Information

Ms Taylor Charisse Kennerly, LGPC
3261 Old Washington Rd Ste 3021,
Waldorf, MD 20602-3229
(240) 280-3245
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMs Taylor Charisse Kennerly
GenderFemale
SpecialityCounselor - Mental Health
Location3261 Old Washington Rd Ste 3021, Waldorf, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164165056
  • Provider Enumeration Date: 04/18/2022
  • Last Update Date: 04/18/2022

Medical Identifiers

Medical identifiers for Ms Taylor Charisse Kennerly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164165056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LGP11841 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Taylor Charisse Kennerly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Taylor Charisse Kennerly, LGPC
4351 Telfair Blvd Apt G101,
Camp Springs, MD 20746-4285

Ph: (203) 216-4252
Ms Taylor Charisse Kennerly, LGPC
3261 Old Washington Rd Ste 3021,
Waldorf, MD 20602-3229

Ph: (240) 280-3245

Reviews and Comments


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