Healthcare Provider Details

I. General information

NPI: 1790414860
Provider Name (Legal Business Name): TAYLOR LAWSON KEMP MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 CENTERVIEW PKWY STE 201
CORDOVA TN
38018-4256
US

IV. Provider business mailing address

220 ATHENS WAY STE 104
NASHVILLE TN
37228-1351
US

V. Phone/Fax

Practice location:
  • Phone: 877-641-1155
  • Fax: 615-320-1177
Mailing address:
  • Phone: 615-320-1155
  • Fax: 615-320-1177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6122
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: