Healthcare Provider Details

I. General information

NPI: 1073437828
Provider Name (Legal Business Name): TAIYLOR DANIELLE DE LOS REYES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25255 W 102ND TER STE 200
OLATHE KS
66061-8440
US

IV. Provider business mailing address

7223 W 95TH ST STE 220
OVERLAND PARK KS
66212-6195
US

V. Phone/Fax

Practice location:
  • Phone: 816-607-1775
  • Fax: 816-379-3748
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05341
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: