Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Taelor Wise, LCPC

Individual provider Mental Health Counselor · NPI 1194645861

Taelor Wise, LCPC is a Mental Health Counselor in Maryville, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2026
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone: (618) 972-1568
Fax: (618) 205-3561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7348 State Route 162, Troy, IL 62294-3367 — (618) 972-1568

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 180018327 (IL)

Record details

NPI number1194645861
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedJuly 21, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address3 Oak Dr Ste B, Maryville, IL 62062-5635

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