Organization
TAILORED LIFE TRANSITIONS, LLC
Active
Other names
Tailored Life
Organization subpart
No
Provider details
NPI number
Authorized official
LASHARON TAYLOR LMHC (LICENSED MENTAL HEALTH COUNSELOR)
(319) 217-1375
Entity
Organization
Contact information
Practice address
32 WESTWOODS DR, LIBERTY, MO 64068-3519
(816) 425-1734
Mailing address
11428 N DITZLER AVE, KANSAS CITY, MO 64157-8218
(319) 217-1375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
079016
IA
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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