Gordon, Latasha M

Gordon, Latasha M is an sole proprietor health care provider with primary practice located at 2115 W Park Dr , Lorain OH 44053-1138. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gordon, Latasha M can be contacted via phone (440) 989-4900.

Contact Information

Primary practice address
2115 W Park Dr Lorain OH 44053-1138
Phone: (440) 989-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OCPSA.161742 Ohio
Behavioral Health & Social Service Providers / Counselor 101Y00000X C.2305280-TRNE Ohio
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.162487 Ohio

Profile Details

NPI number 1922459072
LBN Legal business name Gordon, Latasha M
Credentials LCDC III, OCPSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2016
Last updated Jan 4th, 2024 - 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.

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