Healthcare Provider Details

I. General information

NPI: 1225940232
Provider Name (Legal Business Name): TAYLOR CODDINGTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 PAGE AVE
ASHEVILLE NC
28801-1125
US

IV. Provider business mailing address

294 WESTWOOD PL
ASHEVILLE NC
28806-4659
US

V. Phone/Fax

Practice location:
  • Phone: 512-720-9457
  • Fax:
Mailing address:
  • Phone: 512-720-9457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberA23191
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: