Taylor Shea Wyatt, LAPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APC008066 Issued in GA

Practice address

500 Sun Valley Dr Ste D2
Roswell, GA 30076-5636

Phone

(770) 910-9162

NPI assigned

Aug 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Taylor Fowler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Expansion Counseling Services, LLC

  • Professional Counselor
  • Roswell, GA
  • NPI 1720539562

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1093598450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4582 VALLEY PKWY SE APT B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824947",
            "telephone_number": "918-740-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE D2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765636",
            "telephone_number": "770-910-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "TAYLOR",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "FOWLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian Wright, DPT
• Tracy Ann Wright, P.T.
• Wendi Patice Wright
• Karen Wunder, MA, LPC
• Bryce Thompson Wyatt, M.D
• Amber Jonell Wydner, OTR/L
• Wyman B Martin DDS PC
• Renee Wymer
• Marlon Dion Wynn
• James McKamey Yandle, L.C.S.W.

• Mental Health Counselor in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.