Individual ProviderJacquelyn Leatrice Taylor-MaysSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127(901) 523-8990(901) 598-5544PECOS EnrollmentBased on the most recent information from CMS, provider Jacquelyn Leatrice Taylor-Mays does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881605699Provider TypeIndividualFull NameTaylor-Mays, Jacquelyn LeatriceTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/10/2006Last Updated12/7/2022Contact InformationPractice LocationPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127Phone(901) 523-8990FaxUnlisted FaxMailing LocationMailing Address5423 Sundale Way S, Memphis, TN 38135-4206Phone(901) 598-5544FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense4976TennesseeCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense6418Tennessee