Shavontae Erika Taylor, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT002058 Issued in GA

Practice address

524 S Houston Lake Rd BLDG J
Warner Robins, GA 31088-9027

Phone

(478) 227-0779

Fax

(470) 290-6429

NPI assigned

Apr 8, 2024

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

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lyons Center LLCGroup PAC ID 3375983950, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Lyons Center LLC

  • Marriage & Family Therapist
  • Warner Robins, GA
  • NPI 1285242099
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1801649272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 S HOUSTON LAKE RD STE J100",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889069",
            "telephone_number": "478-227-0779",
            "fax_number": "470-290-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 S HOUSTON LAKE RD BLDG J",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310889027",
            "telephone_number": "478-227-0779",
            "fax_number": "470-290-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Hardwood St SW",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310614546",
            "country_code": "US",
            "telephone_number": "478-206-1389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "407 Angus Blvd",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310885946",
            "country_code": "US",
            "telephone_number": "478-206-1389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "SHAVONTAE",
        "middle_name": "ERIKA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT002058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Kathleen Taylor, DPT
• Gwendolyn Jordan Taylor, RN
• Latricia Taylor
• Marissa Taylor
• Sharon Louise Taylor, ARNP-C
• Tammy Taylor, LPC
• Thelma Taylor, CNM
• Zatesa Taylor
• Teleshia L Jenkins LPC
• Tender Love Nursing Care

• Marriage & Family Therapist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.