Taylor Nichole Overholt

Individual provider Professional Counselor · NPI 1700659208

Taylor Nichole Overholt is a Mental Health Counselor in Glen Dale, West Virginia. Graduated from West Virginia University School of Medicine in 2020, 6 years ago. Practices with Grandw Inc, a 90-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying: 6
Trained at: West Virginia University School of Medicine
Licensed in: WV
In the registry since: 2023

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Practice location Address checks out

608 Jefferson Ave
Glen Dale, WV 26038-1326
Phone: (304) 238-8579

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

Specialties & licences

Professional Counselor (primary)	Taxonomy 101YP2500X · Licence 2908 (WV)

Record details

NPI number	1700659208
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	No
NPI enumerated	November 6, 2023
Last updated in NPPES	November 6, 2023
Certification date	November 6, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduated	2020 (6 years in practice)
Group practice	Grandw Inc — 90 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount