Provider Demographics
NPI:1700544772
Name:TAYLOR LAWSON, LLC
Entity Type:Organization
Organization Name:TAYLOR LAWSON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:612-412-4552
Mailing Address - Street 1:3405 KYLE AVE N
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2843
Mailing Address - Country:US
Mailing Address - Phone:507-581-9637
Mailing Address - Fax:
Practice Address - Street 1:3405 KYLE AVE N
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55422-2843
Practice Address - Country:US
Practice Address - Phone:507-581-9637
Practice Address - Fax:877-651-5014
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TAYLOR LAWSON, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health