Healthcare Provider Details

I. General information

NPI: 1760300529
Provider Name (Legal Business Name): TAYLOR WIKEL LICENSED MARRIAGE AND FAMILY THERAPIST INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41877 ENTERPRISE CIR N STE 232
TEMECULA CA
92590-5656
US

IV. Provider business mailing address

41877 ENTERPRISE CIR N STE 200
TEMECULA CA
92590-5628
US

V. Phone/Fax

Practice location:
  • Phone: 951-290-2785
  • Fax:
Mailing address:
  • Phone: 951-290-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR WIKEL
Title or Position: CEO
Credential: LMFT
Phone: 951-290-2785