Provider Demographics
NPI:1780564583
Name:TAILOREDMIND
Entity type:Organization
Organization Name:TAILOREDMIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:646-505-9610
Mailing Address - Street 1:1260 N JAMES ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-5869
Mailing Address - Country:US
Mailing Address - Phone:646-505-9610
Mailing Address - Fax:
Practice Address - Street 1:1260 N JAMES ESTATES DR
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-5869
Practice Address - Country:US
Practice Address - Phone:646-505-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty