Individual
CHARMION LYNELL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 LONGLEAF BLVD STE B, LAWRENCEVILLE, GA 30046-8458
(678) 376-3800
Mailing address
1017 FAYETTEVILLE RD SE STE A, ATLANTA, GA 30316-2932
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006480
GA
101YM0800X
Mental Health Counselor
LPC014101
GA
Other
Enumeration date
04/19/2022
Last updated
10/31/2023
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