TAYLOR BROCK LAC
NPI 1194671776
Counselor - Mental Health in Peoria, AZ

Active since March 06, 2026
10736 W BRILES RD, PEORIA, AZ 85383(623) 226-6622 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Taylor Brock Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAYLOR BROCK LAC (NPI 1194671776) is an individual mental health provider in Peoria, Arizona, licensed in Arizona (LAC-24010) and active in the NPI registry since March 2026.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1194671776
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR BROCKCredential: LAC
Location Address10736 W BRILES RDPeoria, AZ 85383-5908
Mailing Address10736 W Briles RdPeoria, AZ 85383-5908 · (602) 509-9650
Sole ProprietorYes
Enumeration DateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
NPI 1194671776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LAC-24010
10736 W BRILES RD, Peoria, AZ 85383

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194671776, enumerated as an "individual" on March 06, 2026.

The provider is located at 10736 W BRILES RD PEORIA, AZ 85383 and the phone number is (623) 226-6622.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.