Cockhren, Latasheanne

Cockhren, Latasheanne is an sole proprietor health care provider with primary practice located at 6449 S 16Th Pl , Phoenix AZ 85042-4569. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as her primary health care specialty. Cockhren, Latasheanne can be contacted via phone (619) 647-7568.

Contact Information

Primary practice address
6449 S 16Th Pl Phoenix AZ 85042-4569
Phone: (619) 647-7568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1821663683
LBN Legal business name Cockhren, Latasheanne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2021
Last updated May 24th, 2021 - about 4 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.

Request for update

Popular Providers