MEDICARE: TALIA C. F. TAYLOR LPC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	8928	SC

General Provider Information

NPI Number	:	1154278729
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALIA C. F. TAYLOR LPC-A

Provider Business Mailing Address
First Line	:	1314 DEERWOOD ST
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29205-4840
Country	:	US
Telephone Number	:	803-563-8718
Fax Number	:

Provider Business Practice Location Address
First Line	:	4000 FABER PLACE DR STE 300
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29405-8587
Country	:	US
Telephone Number	:	803-563-8718
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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