Stewart, Carla Latrise

Stewart, Carla Latrise is an individual health care provider with primary practice located at 19630 Governors Hwy Ste 8 , Flossmoor IL 60422-2079. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stewart, Carla Latrise can be contacted via phone (708) 481-4257.

Contact Information

Primary practice address
19630 Governors Hwy Ste 8 Flossmoor IL 60422-2079
Phone: (708) 481-4257
Fax: (708) 481-4254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 2246885 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.007522 Illinois
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.004505 Illinois

Profile Details

NPI number 1326275215
LBN Legal business name Stewart, Carla Latrise
Credentials NCC, LCPC, BCPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2009
Last updated Feb 20th, 2018 - about 6 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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