Tailored Life Transitions, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

079016 Issued in IA

Legal business name

TAILORED LIFE TRANSITIONS, LLC

Practice address

32 Westwoods Dr
Liberty, MO 64068-3519

Phone

(816) 425-1734

NPI assigned

Apr 14, 2016

Last updated

Apr 14, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lasharon Taylor, LMHCNPI 1740638626

Title

Licensed Mental Health Counselor

Phone

(319) 217-1375

Specialties & licenses 1

Addresses

Other names 1

• Tailored Life Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lasharon Leah Taylor, LPC, LMHC, IADC

  • Mental Health Counselor
  • Cedar Rapids, IA
  • NPI 1740638626
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460592000000",
    "number": "1174977268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11428 N DITZLER AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641578218",
            "telephone_number": "319-217-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 WESTWOODS DR",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640683519",
            "telephone_number": "816-425-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED LIFE TRANSITIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2016-04-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "LASHARON",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "319-217-1375",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "079016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailored Life",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• SVS Vision Inc
• Jason Swartwood, LCSW
• Elizabeth Swoboda
• Jessica F Taddeo, OT
• Andrew J Taiber, M.D.
• Daivon Tate
• Logan Nicholas Taylor, DPT
• Constance Marie Teague, DPT
• Kent Tegeler, M.D.
• Catie Tejeda

• Mental Health Counselor in Liberty, MO
• Providers in Liberty, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.