Healthcare Provider Details

I. General information

NPI: 1679912315
Provider Name (Legal Business Name): LAUREN E TAYLOR LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREN E MORANO

II. Dates (important events)

Enumeration Date: 06/16/2013
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
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: 310-708-4628
Mailing address:
  • Phone: 310-708-4628
  • Fax: 310-708-4628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT99000
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: