TAYLOR LAKE
NPI 1366930760
Counselor - Professional in District Heights, MD
Active since May 01, 2018
6421 ATWOOD ST, DISTRICT HEIGHTS, MD 20747(301) 336-7600(301) 499-2121 Get Directions Write a Review
About Taylor Lake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYLOR LAKE (NPI 1366930760) is an individual professional provider in District Heights, Maryland, licensed in Maryland (LC14912) and active in the NPI registry since May 2018. She maintains a secondary practice location in Washington.
NPPES Registry Identity
NPI1366930760
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTAYLOR LAKE
Location Address6421 ATWOOD STDistrict Heights, MD 20747-1345
Mailing Address6421 Atwood StDistrict Heights, MD 20747-1345 · (301) 336-7600 · Fax (301) 499-2121
Phone(301) 336-7600
Fax(301) 499-2121
Sole ProprietorYes
Enumeration DateMay 1, 2018
Last NPPES UpdateFebruary 18, 2026
NPPES CertifiedFebruary 18, 2026
✔ NPI 1366930760 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC14912
Also ListedBehavior TechnicianTaxonomy 106S00000X
6421 ATWOOD ST, District Heights, MD 20747
Secondary Practice Location 1
Location 13814 12th St NEWashington, DC 20017-2630 · Phone (202) 569-1877 · Fax (202) 204-5880
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Professional)
6421 ATWOOD ST
DISTRICT HEIGHTS, MD 20747
DISTRICT HEIGHTS, MD 20747
Community/Behavioral Health
6421 ATWOOD ST
DISTRICT HEIGHTS, MD 20747
DISTRICT HEIGHTS, MD 20747
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366930760, enumerated as an "individual" on May 01, 2018.
The provider is located at 6421 ATWOOD ST DISTRICT HEIGHTS, MD 20747 and the phone number is (301) 336-7600.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
