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General NPI Number Information
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NPI Number | 1861328114
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Entity Type | Organization
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Legal Business Name | TAYLOR HOLLOMAN THERAPY & WELLNESS SERVICES PLLC DBA TRELLIS THERAPY
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 3408 NW 189TH ST OFC 1
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City | EDMOND
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State | OK
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Zip | 73012-0007
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Country | US
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Telephone | 405-320-9150
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Fax |
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Provider Business Mailing Address
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Address Line | 2729 NW 189TH ST
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City | EDMOND
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State | OK
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Zip | 73012-0015
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Country | US
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Telephone | 540-355-0968
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Fax |
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Authorized Official
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Title or Position | OWNER & THERAPIST
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Name | MRS. TAYLOR RENEE HOLLOMAN
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Credential | M.S., LMFT
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Telephone | 540-355-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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