Healthcare Provider Details

I. General information

NPI: 1790528925
Provider Name (Legal Business Name): CAYLA L. TAYLOR-HUNTLEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAYLA L. DOOLITTLE

II. Dates (important events)

Enumeration Date: 06/15/2024
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 HOSPITAL RD
NEWNAN GA
30263-1209
US

IV. Provider business mailing address

1196 N HIGHWAY 113
CARROLLTON GA
30117-9397
US

V. Phone/Fax

Practice location:
  • Phone: 678-423-4610
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC014630
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC014630
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: