Charmion Lynell Taylor

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006480 Issued in GA

Practice address

760 Longleaf Blvd Ste B
Lawrenceville, GA 30046-8458

Phone

(678) 376-3800

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1174266985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FAYETTEVILLE RD SE STE A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303162932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 LONGLEAF BLVD STE B",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468458",
            "telephone_number": "678-376-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARMION",
        "middle_name": "LYNELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014101",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Tatum
• Asif Taufiq, D.D.S, M.B.A
• Carol Yvette Taylor-Ali, RN
• Daviea Antoinette Taylor-Hicks, PA-C
• Adaky Chidundo Taylor, PA-C
• Colleen Taylor, PHD
• Darcey Jerome Taylor, DMD
• Kristina Michelle Taylor, LCSW
• Leslie Inez Taylor, PCT
• Lorna Elica Taylor, LPC

• Mental Health Counselor in Lawrenceville, GA
• Providers in Lawrenceville, 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 Oct 31, 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.