MEDICARE: TAYLOR ORIBELLO LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LMFT-16460	AZ

General Provider Information

NPI Number	:	1003700741
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR ORIBELLO LMFT

Provider Business Mailing Address
First Line	:	7638 W JENAN DR
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85345-1342
Country	:	US
Telephone Number	:	951-813-6916
Fax Number	:

Provider Business Practice Location Address
First Line	:	4646 E GREENWAY RD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-4805
Country	:	US
Telephone Number	:	602-786-5742
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	12/12/2025

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