Healthcare Provider Details

I. General information

NPI: 1316509052
Provider Name (Legal Business Name): TAYLOR N PIERRE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TAYLOR N JOHNSON

II. Dates (important events)

Enumeration Date: 07/02/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4480 GRETNA RD
BRANSON MO
65616-7202
US

IV. Provider business mailing address

PO BOX 844715
KANSAS CITY MO
64184-4715
US

V. Phone/Fax

Practice location:
  • Phone: 417-761-5492
  • Fax: 417-336-1204
Mailing address:
  • Phone: 417-761-5214
  • Fax: 417-761-5065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2019039857
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: