Greene, Latasha D
Greene, Latasha D is an sole proprietor health care provider with primary practice located at 502 N Carroll Ave Ste 120 , Southlake TX 76092-6449. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Greene, Latasha D can be contacted via phone (682) 292-7012.Contact Information
Primary practice address
502 N Carroll Ave Ste 120
Southlake TX 76092-6449
Phone: (682) 292-7012
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 36918 | Texas |
Profile Details
| NPI number | 1366124836 |
|---|---|
| LBN Legal business name | Greene, Latasha D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2023 |
| Last updated | Aug 3rd, 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.
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