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NPI Code Detail

MEDICARE: TEYLOR NICHOLS

MEDICARE: TEYLOR NICHOLS
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1285562231
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEYLOR NICHOLS
Provider Business Mailing Address
First Line : PO BOX 457
Second Line :
City : HYNDMAN
State : PA
Zip : 15545-0457
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 GLENN ST STE 302
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2583
Country : US
Telephone Number : 240-580-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ TEYLOR NICHOLS ” Practice Location

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