Provider Demographics
NPI:1386121440
Name:PRISE, TAYLOR (LPAT, LAPC, ATR-BC)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:PRISE
Suffix:
Gender:F
Credentials:LPAT, LAPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HUNTERS CT
Mailing Address - Street 2:
Mailing Address - City:AMELIA
Mailing Address - State:OH
Mailing Address - Zip Code:45102-2141
Mailing Address - Country:US
Mailing Address - Phone:740-541-3057
Mailing Address - Fax:
Practice Address - Street 1:119 HUNTERS CT
Practice Address - Street 2:
Practice Address - City:AMELIA
Practice Address - State:OH
Practice Address - Zip Code:45102-2141
Practice Address - Country:US
Practice Address - Phone:740-541-3057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-23
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHART.25000018221700000X
PAAPC001479101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist