MEDICARE: TAYLOR SOWELL

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.171970	OH
2	104100000X	Social Worker	S.2208608	OH

General Provider Information

NPI Number	:	1487273488
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR SOWELL

Provider Business Mailing Address
First Line	:	181 E 190TH ST
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1035
Country	:	US
Telephone Number	:	216-375-2664
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 S COURT ST, MEDINA, OH 44256
Second Line	:
City	:	MEDINA
State	:	OH
Zip	:	44256
Country	:	US
Telephone Number	:	330-723-7977
Fax Number	:

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

Provider Enumeration Date	:	04/10/2020
Last Update Date	:	04/16/2026

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Directions to “ TAYLOR SOWELL ” Practice Location

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