Individual provider · Type 1 NPI

Taylor Lake

Professional Counselor · District Heights, MD

NPI number 1366930760 Active

About NPI 1366930760

Taylor Lake's National Provider Identifier is 1366930760, issued on May 1, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in District Heights, MD. The record was last updated on Feb 18, 2026.