Gratiana Wilson Taylor, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006127 Issued in GA

Practice address

110 Eagle Spring Dr
Stockbridge, GA 30281-6488

Phone

(678) 712-1948

NPI assigned

Nov 7, 2006

Last updated

Aug 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tina Taylor Other name

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1568531093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 EAGLE RIDGE DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943377",
            "telephone_number": "678-712-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAGLE SPRING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816488",
            "telephone_number": "678-712-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "GRATIANA",
        "middle_name": "WILSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "TAYLOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Monica Tarver, LAPC
• Briana Nicole Tate-York, CAA
• Devesea Tatum, LCSW
• Kandace Tawia, LCSW
• Qushon Denee Taylor-Bertram, M. ED, NCC
• Gregory Clay Taylor, D.P.M.
• Ieshea Elaine Taylor
• Jonathan Wesley Taylor, PHARM.D
• Kristy Annette Taylor, BSW, MED
• Lauren W Taylor, NP

• Professional Counselor in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.