Search › Georgia › 1041C0700X
Lisa Taylor, PHD, TLP, LCSW
NPI 1396973988 · on the registry since 2009 · sole proprietor
Practice
- Address
- 652 Po Box
Avondale Estates, GA 30002 - Phone
- (678) 517-9984
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041C0700X
103T00000X
1041S0200X - Licence states on file
- GA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia