Dudley, Latasha
Dudley, Latasha is an sole proprietor health care provider with primary practice located at 3275 Hunting Creek Pass , Douglasville GA 30135-8469. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Dudley, Latasha can be contacted via phone (678) 927-5159.Contact Information
Primary practice address
3275 Hunting Creek Pass
Douglasville GA 30135-8469
Phone: (678) 927-5159
Fax: (770) 726-9645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 429007 | Georgia |
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | Georgia | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Assistive Technology Practitioner | 225CA2400X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1386936631 |
|---|---|
| LBN Legal business name | Dudley, Latasha |
| Credentials | BBA, M. ED. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 4th, 2011 |
| Last updated | Oct 21st, 2019 - about 5 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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