Healthcare Provider Details

I. General information

NPI: 1396350088
Provider Name (Legal Business Name): TAYLOR L SMITH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2020
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47185 COOPER FOSTER PARK RD
AMHERST OH
44001-3307
US

IV. Provider business mailing address

132 FORESTHILL DR
AMHERST OH
44001-2361
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-2778
  • Fax:
Mailing address:
  • Phone: 440-420-7210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.2203017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: