MEDICARE: TAYLOR BARCHOWSKI MA

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	21192	FL

General Provider Information

NPI Number	:	1376283705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR BARCHOWSKI MA

Provider Business Mailing Address
First Line	:	1530 VILLA CAPRI CIR APT 110
Second Line	:
City	:	ODESSA
State	:	FL
Zip	:	33556-6092
Country	:	US
Telephone Number	:	732-589-8171
Fax Number	:

Provider Business Practice Location Address
First Line	:	3030 STARKEY BLVD
Second Line	:
City	:	TRINITY
State	:	FL
Zip	:	34655-2175
Country	:	US
Telephone Number	:	732-589-8171
Fax Number	:

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

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	04/01/2022

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