Taylor Made Counseling, LLC
Counselor, Professional in Midwest City, OK. Organization (NPI-2).
Details
- NPI
- 1073005674
- Entity type
- Organization (NPI-2)
- Legal business name
- Taylor Made Counseling, LLC
- Organization subpart
- No
- Enumeration date
- May 31, 2018
- Last updated
- May 31, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 6495 | OK | Yes |
Practice location
2801 Parklawn DrMidwest City, OK 73110-4211
Phone 405-615-4841
Mailing address
17789 E Charter Oak RdLuther, OK 73054-9583
Phone 405-615-4841
Other practice locations
Luther, OK 73054-9583
Phone 405-615-4841
Authorized official
Tessica R Taylor
Licensed Professional Counselor
4056154841
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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