Bethea, Latasha
Bethea, Latasha is an individual health care provider with primary practice located at 10 Parker Ln , Pinehurst NC 28374-7903. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bethea, Latasha can be contacted via phone (910) 295-3133.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P004212 | North Carolina |
Profile Details
| NPI number | 1679746838 |
|---|---|
| LBN Legal business name | Bethea, Latasha |
| Credentials | MSW, P-LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2008 |
| Last updated | Apr 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679746838 | NPPES |
| North Carolina | MEDICAID | 3403400 | |
| North Carolina | Other | 562033116 |
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