MEDICARE: MARLENA TAYLOR

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	APCC15202	CA

General Provider Information

NPI Number	:	1346197837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLENA TAYLOR

Provider Business Mailing Address
First Line	:	2968 W 7TH ST APT 521
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90005-4549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 W SUNSET BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3262
Country	:	US
Telephone Number	:	315-878-9055
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ MARLENA TAYLOR ” Practice Location

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