Daniel, Latisha R
Daniel, Latisha R is an individual health care provider with primary practice located at 341 Bogle Street Ste A , Somerset KY 42503-2815. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Daniel, Latisha R can be contacted via phone (606) 677-0201.Contact Information
Primary practice address
341 Bogle Street Ste A
Somerset KY 42503-2815
Phone: (606) 677-0201
Fax: (606) 677-0208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 172163 | Kentucky |
Profile Details
| NPI number | 1346438421 |
|---|---|
| LBN Legal business name | Daniel, Latisha R |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Jan 2nd, 2024 - about 10 months 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 | 1346438421 | NPPES |
| Other | 13975265 | CAQH | |
| MEDICAID | 7100449230 | CAQH |
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