Individual
MRS. LAKEICHA DARNETTA BIRDSONG-TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, NCC, LPCC
Contact information
Practice address
56 FALKLAND AVE, SAVANNAH, GA 31407-3940
(859) 797-2587
Mailing address
56 FALKLAND AVE, SAVANNAH, GA 31407-3940
(859) 797-2587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
KY-1503
KY
101YM0800X
Mental Health Counselor
Primary
LPC007862
GA
101YP2500X
Professional Counselor
LPC007862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-2032752
IRS
—
Enumeration date
02/19/2013
Last updated
07/16/2024
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