Healthcare Provider Details

I. General information

NPI: 1164352373
Provider Name (Legal Business Name): TAYLOR ESWORTHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10525 N AMBASSADOR DR STE 108
KANSAS CITY MO
64153-1282
US

IV. Provider business mailing address

10525 N AMBASSADOR DR STE 108
KANSAS CITY MO
64153-1282
US

V. Phone/Fax

Practice location:
  • Phone: 316-882-4002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2025051420
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: