Healthcare Provider Details

I. General information

NPI: 1982534715
Provider Name (Legal Business Name): TAYLOR TAYLOR LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 CLEVELAND RD
WOOSTER OH
44691-2203
US

IV. Provider business mailing address

155 US HIGHWAY 250
POLK OH
44866-9740
US

V. Phone/Fax

Practice location:
  • Phone: 330-262-2500
  • Fax:
Mailing address:
  • Phone: 567-284-0050
  • Fax: 567-284-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: