Provider Demographics
NPI:1235669201
Name:OPFER, TAYLOR KRISTINE (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:KRISTINE
Last Name:OPFER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:KRISTINE
Other - Last Name:STOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 CENTER ST STE A
Mailing Address - Street 2:
Mailing Address - City:BERLIN HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814-9603
Mailing Address - Country:US
Mailing Address - Phone:419-706-1581
Mailing Address - Fax:
Practice Address - Street 1:66 CENTER ST STE A
Practice Address - Street 2:
Practice Address - City:BERLIN HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44814-9603
Practice Address - Country:US
Practice Address - Phone:419-706-1581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-13
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901324101YM0800X, 101YP2500X
OHC1700305101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health