Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Taylor Lake

Individual provider Professional Counselor · NPI 1366930760

Taylor Lake is a Professional Counselor in District Heights, Maryland. Practices as a sole proprietor and works from 2 locations. Licensed in Maryland.

Licensed in
MD
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

6421 Atwood St
District Heights, MD 20747-1345
Phone: (301) 336-7600
Fax: (301) 499-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3814 12th St Ne, Washington, DC 20017-2630 — (202) 569-1877

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC14912 (MD)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1366930760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2018
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address6421 Atwood St, District Heights, MD 20747-1345

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