Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR LAKE
Active Sole ProprietorTAYLOR LAKE is a Professional Counselor healthcare provider located in DISTRICT HEIGHTS, Maryland. NPI 1366930760 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · DISTRICT HEIGHTS, MD
Registration Details
- NPI Number
- 1366930760
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2018 (8.2671125571504 yrs)
- Last Updated
- Feb 18, 2026
- License
-
LC14912 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6421 ATWOOD STDISTRICT HEIGHTS, MD, 207471345Browse MD providers · Browse ZIP 20747
- Phone
- 3013367600
- Fax
- 3014992121
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Behavior Technician
Other Professional Counselor Providers in DISTRICT HEIGHTS, MD
| Name | Credential | NPI |
|---|---|---|
| MRS. LATARSHA DORIS WALKER | M.A.LCPC | 1770772279 |
| MS. WALTRINA J STANCELL | LPC | 1982852653 |
| DIANE HALLILA PASSERO | LCPC | 1902241763 |
| LYNETTE BROOKS TAYLOR | LGPC | 1003222175 |
| RICHARD MOORE | LPC | 1902206733 |
| CHELSEA LEWIS-WILKINS | LCPC | 1568852903 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.