MEDICARE: TAYLORED TRANSITIONS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1104771740
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAYLORED TRANSITIONS, LLC

Provider Business Mailing Address
First Line	:	1954 AIRPORT RD # 1183
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	770-609-5527
Fax Number	:	770-275-2885

Provider Business Practice Location Address
First Line	:	1954 AIRPORT RD # 1183
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-4956
Country	:	US
Telephone Number	:	770-609-5527
Fax Number	:	770-275-2885

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER/OWNER
Name	:	LINDA TATUM
Credential	:	LCSW
Telephone Number	:	770-609-5527

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/05/2026

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