Taylor Made Counseling & Wellness PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAYLOR MADE COUNSELING & WELLNESS PLLC

Practice address

116 S Front St
Dardanelle, AR 72834-4028

Phone

(479) 317-1398

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie P Taylor, LCSW

Title

Ceo/Owner

Phone

(479) 317-1398

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1295353886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JOSH CIR",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029431",
            "telephone_number": "479-317-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S FRONT ST",
            "city": "DARDANELLE",
            "state": "AR",
            "postal_code": "728344028",
            "telephone_number": "479-317-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR MADE COUNSELING & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "479-317-1398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Burrell Smith Jr., D.C.
• Annette Kay Snider, LCSW
• State of Arkansas (Yell County Health Unit Dardanelle)
• Kristy Leigh Stokes, L.P.C.
• Susan Rebekah Stuck
• Rebekah Taylor, LCSW
• The Kirkland Family Medical Center, PA
• Kimberly Via
• Walmart Inc.
• Brett Randall Walters, PHARM.D.

• Clinical Social Worker in Dardanelle, AR
• Providers in Dardanelle, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.