Provider Demographics
NPI:1215407572
Name:SCHREIBER, TAYLOR ADAMS (AMFT)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ADAMS
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:922 STATE ST STE A2-5
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6795
Mailing Address - Country:US
Mailing Address - Phone:323-452-6754
Mailing Address - Fax:
Practice Address - Street 1:922 STATE ST STE A2-5
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6795
Practice Address - Country:US
Practice Address - Phone:323-452-6754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-29
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X, 101YA0400X
CALMFT142537106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)