Healthcare Provider Details

I. General information

NPI: 1235933292
Provider Name (Legal Business Name): LAURA TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2025
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 614
IRONTON OH
45638-0614
US

IV. Provider business mailing address

PO BOX 614
IRONTON OH
45638-0614
US

V. Phone/Fax

Practice location:
  • Phone: 740-442-7045
  • Fax: 740-442-7047
Mailing address:
  • Phone: 740-442-7045
  • Fax: 740-442-7047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: