Brown, Latasha Myjjole'

Brown, Latasha Myjjole' is an sole proprietor health care provider with primary practice located at 4830 Matchwood Ct , Fayetteville NC 28306-3934. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brown, Latasha Myjjole' can be contacted via phone (910) 489-6081.

Contact Information

Primary practice address
4830 Matchwood Ct Fayetteville NC 28306-3934
Phone: (910) 489-6081
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X 532401 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X A18308 North Carolina

Profile Details

NPI number 1063112662
LBN Legal business name Brown, Latasha Myjjole'
Credentials LCMHCA, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2023
Last updated Mar 8th, 2023 - about 2 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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