Individual provider · Type 1 NPI

Taylor Eernisse, LPC

Professional Counselor · Phoenix, AZ

NPI number 1699418236 Active

Practice location

3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806

Fax (602) 257-8029

Mailing address

3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XLAC-18753 (AZ)
Professional Counselor Primary 101YP2500XLPC-23656 (AZ)

Professional Counselor: Definition to come...

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About NPI 1699418236

Taylor Eernisse, LPC's National Provider Identifier is 1699418236, issued on Apr 20, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on May 5, 2025.