Moore, Latisha

Moore, Latisha is an sole proprietor health care provider with primary practice located at 139 W 3Rd Street , Washington NC 27889-3565. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Agencies / Case Management, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Case Management is her primary health care specialty. Moore, Latisha can be contacted via phone (252) 940-7260.

Contact Information

Primary practice address
139 W 3Rd Street Washington NC 27889-3565
Phone: (252) 940-7260
Fax: (252) 940-7261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Agencies / Case Management 251B00000X North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-007-062 North Carolina

Profile Details

NPI number 1992860670
LBN Legal business name Moore, Latisha
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 24th, 2006
Last updated Jan 7th, 2008 - about 16 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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