Healthcare Provider Details

I. General information

NPI: 1396822037
Provider Name (Legal Business Name): LAUREN CRAWFORD TAYLOR LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN BETH CRAWFORD LCSW

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 03/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 LINWOOD AVE NE STE 200
ATLANTA GA
30306
US

IV. Provider business mailing address

685 LINWOOD AVE NE STE 200
ATLANTA GA
30306
US

V. Phone/Fax

Practice location:
  • Phone: 404-947-8344
  • Fax: 770-946-8974
Mailing address:
  • Phone: 404-947-8344
  • Fax: 770-946-8974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCSW002831
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberGA002831
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: