Delaney, Latasha
Delaney, Latasha is an sole proprietor health care provider with primary practice located at 312 N Missouri St Ste 2 , West Memphis AR 72301-3186. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Delaney, Latasha can be contacted via phone (870) 907-9185.Contact Information
Primary practice address
312 N Missouri St Ste 2
West Memphis AR 72301-3186
Phone: (870) 907-9185
Fax: (870) 561-5311
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | P1608105 | Arkansas |
Profile Details
| NPI number | 1265609747 |
|---|---|
| LBN Legal business name | Delaney, Latasha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2008 |
| Last updated | Apr 20th, 2023 - about last year |
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 | 1265609747 | NPPES |
| Arkansas | MEDICAID | 290592744 | |
| Arkansas | MEDICAID | 228466719 |
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