MEDICARE: NIKITA TAYLOR-MORRISON

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	101YP2500X	Professional Counselor	92323	TX

General Provider Information

NPI Number	:	1750096194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKITA TAYLOR-MORRISON

Provider Business Mailing Address
First Line	:	8300 BISSONNET ST STE 245
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3900
Country	:	US
Telephone Number	:	713-307-5156
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 BISSONNET ST STE 218
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3903
Country	:	US
Telephone Number	:	713-307-5156
Fax Number	:

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

Provider Enumeration Date	:	01/19/2023
Last Update Date	:	02/03/2025

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