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

Taylor Serrata

Individual provider Counselor · NPI 1164016937

Taylor Serrata is a Counselor in Carbondale, Illinois. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

2411 S Illinois Ave
Carbondale, IL 62903-5913
Phone: (618) 615-9754
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Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1164016937
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021
Mailing address902 W Main St, West Frankfort, IL 62896-2210

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