Destiny T Taylor | Roxbury, MA • PECOS Search

Destiny T Taylor

Counselor

Behavioral Health & Social Service Providers

504 Dudley St, Roxbury, MA 02119-2732

PECOS Enrollment

Based on the most recent information from CMS, provider Destiny T Taylor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1982581070
Provider Type
Individual
Full Name
Taylor, Destiny T
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/19/2025
Last Updated
8/19/2025

Contact Information

Practice Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Mailing Location

504 Dudley St, Roxbury, MA 02119-2732

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101Y00000X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer