Healthcare Provider Details

I. General information

NPI: 1659763829
Provider Name (Legal Business Name): STEVEN TAYLOR LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/25/2015
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W SCENIC RIVERS BLVD STE E
SALEM MO
65560-2811
US

IV. Provider business mailing address

1100 W SCENIC RIVERS BLVD STE E
SALEM MO
65560-2811
US

V. Phone/Fax

Practice location:
  • Phone: 417-380-2600
  • Fax:
Mailing address:
  • Phone: 417-380-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2015013782
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: