Abraham, Latasha

Abraham, Latasha is an sole proprietor health care provider with primary practice located at 4210 Columbia Rd Suite 5D, Martinez GA 30907-0401. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Abraham, Latasha can be contacted via phone (706) 836-3193.

Contact Information

Primary practice address
4210 Columbia Rd Suite 5D Martinez GA 30907-0401
Phone: (706) 836-3193
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LPC009282 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC009282 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009282 Georgia

Profile Details

NPI number 1023564101
LBN Legal business name Abraham, Latasha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2016
Last updated Mar 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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