TAYLOR REYNOLDS (NPI# 1508401779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508401779 |
| Entity Type | Individual |
| Full Name | TAYLOR REYNOLDS |
| Credential | CDCA.173792 |
| Practice Address |
323 Marion Pike Ste 3 Coal Grove OH 45638-2958 |
| Practice Telephone | 7406466640 |
| Mailing Telephone | 7406466640 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2020-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA173792 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0378862 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487182341 | Taylor Reynolds | Occupational Therapy Assistant | 5400 Euper Ln, Fort Smith, AR 72903-3232 | 2017-05-23 |
| 1003189960 | Taylor Reynolds | Counselor | 4455 Ne Highway 20, Corvallis, OR 97330-9695 | 2012-02-22 |
| Street Address |
323 MARION PIKE STE 3 |
| City | COAL GROVE |
| State | OH |
| Zip Code | 45638-2958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273424 | Jeremy Brown | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2016-05-17 |
| 1740803071 | Drew Mains | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2020-05-21 |
| 1609499284 | Lorain Lynn Bowden | Registered Nurse | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2020-05-18 |
| 1982230702 | Katie Litteral | Case Manager/Care Coordinator | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2020-03-13 |
| 1437784766 | Michelle Aldridge | Case Manager/Care Coordinator | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2020-03-06 |
| 1871131169 | Hannah Blankeship | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-12-17 |
| 1730723495 | Mallory Hasenauer | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-11-05 |
| 1982266656 | Lawrence County Recovery, LLC | Community/Behavioral Health | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-07-02 |
| 1053878694 | David L Burney | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-03-01 |
| 1467920652 | Austin M Ross | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104273424 | Jeremy Brown | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2016-05-17 |
| 1740803071 | Drew Mains | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2020-05-21 |
| 1871131169 | Hannah Blankeship | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-12-17 |
| 1730723495 | Mallory Hasenauer | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-11-05 |
| 1053878694 | David L Burney | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2019-03-01 |
| 1467920652 | Austin M Ross | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638 | 2018-11-06 |
| 1669966685 | Shawn S Aldridge | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638 | 2018-06-22 |
| 1790272029 | Courtney Phelps | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2018-04-23 |
| 1104324631 | Gregory W Runyon | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2018-01-30 |
| 1780182931 | Tiffany Turner | Counselor | 323 Marion Pike Ste 3, Coal Grove, OH 45638-2958 | 2018-01-23 |
| Find all providers in COAL GROVE | ||||
| City | COAL GROVE |
| Zip Code | 45638 |
Please comment or provide details below to improve the information on TAYLOR REYNOLDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.