Individual
TAYLOR ROSS MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHP
Contact information
Practice address
820 W HIGHWAY 50 STE A, O FALLON, IL 62269-1827
(618) 792-5200
(618) 607-0562
Mailing address
820 W HIGHWAY 50 STE A, O FALLON, IL 62269-1827
(618) 792-5200
(618) 607-0562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180017712
IL
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
03/13/2026
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