Provider Demographics
NPI:1811588445
Name:TAUNTON, LORI D (DPC, LPC)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:D
Last Name:TAUNTON
Suffix:
Gender:F
Credentials:DPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 JASMINE GREEN CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-3070
Mailing Address - Country:US
Mailing Address - Phone:318-376-7703
Mailing Address - Fax:
Practice Address - Street 1:1200 JASMINE GREEN CT
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-3070
Practice Address - Country:US
Practice Address - Phone:318-376-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009623101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional