Healthcare Provider Details

I. General information

NPI: 1508444068
Provider Name (Legal Business Name): TAYLER SCHOLES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 W SNEED ST STE E
CENTRALIA MO
65240-1320
US

IV. Provider business mailing address

118 W SNEED ST STE E
CENTRALIA MO
65240-1320
US

V. Phone/Fax

Practice location:
  • Phone: 573-416-0194
  • Fax:
Mailing address:
  • Phone: 573-416-0194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: