Healthcare Provider Details

I. General information

NPI: 1437080405
Provider Name (Legal Business Name): BROOKE TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5655 N HIGH ST
WORTHINGTON OH
43085-3948
US

IV. Provider business mailing address

183 1/2 E 2ND AVE
COLUMBUS OH
43201-0065
US

V. Phone/Fax

Practice location:
  • Phone: 614-406-0299
  • Fax:
Mailing address:
  • Phone: 304-444-5547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2507525
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: