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NPI Code Detail

MEDICARE: RONDA TAYLOR LPC

MEDICARE: RONDA TAYLOR LPC
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
1101YP2500XProfessional CounselorLPC006937GA
2101YA0400XAddiction (Substance Use Disorder) CounselorGA

General Provider Information

NPI Number : 1114383551
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONDA TAYLOR LPC
Provider Business Mailing Address
First Line : 507 OCEAN BLVD STE 205
Second Line :
City : ST SIMONS ISLAND
State : GA
Zip : 31522-4819
Country : US
Telephone Number : 912-638-0350
Fax Number :
Provider Business Practice Location Address
First Line : 1727 WRIGHTSBORO RD
Second Line : SUITE A
City : AUGUSTA
State : GA
Zip : 30904-4049
Country : US
Telephone Number : 706-364-9730
Fax Number : 706-364-9772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2016
Last Update Date : 02/07/2026

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Directions to “ RONDA TAYLOR LPC” Practice Location

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