Healthcare Provider Details

I. General information

NPI: 1861328114
Provider Name (Legal Business Name): TAYLOR HOLLOMAN THERAPY & WELLNESS SERVICES PLLC DBA TRELLIS THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3408 NW 189TH ST OFC 1
EDMOND OK
73012-0007
US

IV. Provider business mailing address

2729 NW 189TH ST
EDMOND OK
73012-0015
US

V. Phone/Fax

Practice location:
  • Phone: 405-320-9150
  • Fax:
Mailing address:
  • Phone: 540-355-0968
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. TAYLOR RENEE HOLLOMAN
Title or Position: OWNER & THERAPIST
Credential: M.S., LMFT
Phone: 540-355-0968