Provider Demographics
NPI:1245920420
Name:LAGUARDIA, JANET TAYLOR (LPC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:TAYLOR
Last Name:LAGUARDIA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:TAYLOR
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:66 CLEAR SPRING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-3201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1137 VAN VOORHIS RD STE 27
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3453
Practice Address - Country:US
Practice Address - Phone:304-282-0588
Practice Address - Fax:304-943-7403
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional