Grant, Lateasha
Grant, Lateasha is an sole proprietor health care provider with primary practice located at 8 Tanglewood Ct. , Monmouth Junction NJ 08852. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Grant, Lateasha can be contacted via phone (973) 493-2323.Contact Information
Primary practice address
8 Tanglewood Ct.
Monmouth Junction NJ 08852
Phone: (973) 493-2323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05633300 | New Jersey |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1871753749 |
|---|---|
| LBN Legal business name | Grant, Lateasha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2008 |
| Last updated | Apr 19th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871753749 | NPPES |
| New Jersey | MEDICAID | 1871753749 |
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