Healthcare Provider Details

I. General information

NPI: 1649091166
Provider Name (Legal Business Name): TAYLOR LAUREN SCOTT MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4930 S HAGADORN RD
EAST LANSING MI
48823-5312
US

IV. Provider business mailing address

6180 N HAGADORN RD APT 7
EAST LANSING MI
48823-7816
US

V. Phone/Fax

Practice location:
  • Phone: 517-355-7661
  • Fax:
Mailing address:
  • Phone: 815-999-5327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: