Healthcare Provider Details

I. General information

NPI: 1154922813
Provider Name (Legal Business Name): VALERIE A TAYLOR LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2020
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 W STATE STREET SUITE 201
BATAVIA IL
60134
US

IV. Provider business mailing address

1230 N WASHINGTON AVE
BATAVIA IL
60510-1369
US

V. Phone/Fax

Practice location:
  • Phone: 888-428-7890
  • Fax:
Mailing address:
  • Phone: 630-247-1151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180-004852
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: