Healthcare Provider Details

I. General information

NPI: 1023936341
Provider Name (Legal Business Name): TAWANDA L VAUGHN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TAWANDA L VAUGHN LPC

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CORNERSTONE DR
LANGHORNE PA
19047-1314
US

IV. Provider business mailing address

540 HUDSON ST
TRENTON NJ
08611-1531
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-6916
  • Fax:
Mailing address:
  • Phone: 609-328-8285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: