Healthcare Provider Details

I. General information

NPI: 1629907662
Provider Name (Legal Business Name): LAUREN TAYLOR LMFT, MARRIAGE & FAMILY THERAPY, PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8605 SANTA MONICA BLVD # 862759
WEST HOLLYWOOD CA
90069-4109
US

IV. Provider business mailing address

8605 SANTA MONICA BLVD # 862759
WEST HOLLYWOOD CA
90069-4109
US

V. Phone/Fax

Practice location:
  • Phone: 310-708-4628
  • Fax:
Mailing address:
  • Phone: 310-708-4628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LAUREN ELIZABETH TAYLOR
Title or Position: FOUNDER, CLINICAL DIRECTOR
Credential: LMFT
Phone: 310-708-4628