Individual
LAUREN TAYLOR SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, DMS, MSW
Contact information
Practice address
1025 EXECUTIVE DR STE 100, HIXSON, TN 37343-7917
(423) 870-3700
Mailing address
1025 EXECUTIVE DR STE 100, HIXSON, TN 37343-7917
(423) 870-3700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
Primary
PA2651
ME
Other
Enumeration date
11/15/2013
Last updated
12/02/2025
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