National Provider Identifier

Taylor E Soderholm, LMHC-D

Taylor E Soderholm, LMHC-D is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Bath, NY and a listed phone number of (607) 664-2255.

NPI 1902419005Bath, NYMental Health Counselor

Profile Overview

NPI
1902419005
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 28, 2020
Last Updated
March 12, 2025

Practice Location

  • 115 Liberty St
  • Bath, NY 14810-1508

Phone: (607) 664-2255

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1902419005
Entity Type
Individual
Last Name
Soderholm
First Name
Taylor
Middle Name
E
Name Prefix
Miss
Credential
LMHC-D
Mailing Street Address
115 Liberty St
Mailing City
Bath
Mailing State
NY
Mailing ZIP Code
14810-1508
Mailing Country
US
Mailing Phone
(607) 664-2255
Practice Street Address
115 Liberty St
Practice City
Bath
Practice State
NY
Practice ZIP Code
14810-1508
Practice Country
US
Practice Phone
(607) 664-2255
Enumeration Date
August 28, 2020
Last Updated
March 12, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)