Individual
SHAVONTAE ERIKA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
524 S HOUSTON LAKE RD BLDG J, WARNER ROBINS, GA 31088-9027
(478) 227-0779
(470) 290-6429
Mailing address
524 S HOUSTON LAKE RD STE J100, WARNER ROBINS, GA 31088-9069
(478) 227-0779
(470) 290-6429
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT002058
GA
Other
Enumeration date
04/08/2024
Last updated
12/02/2025
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