Davis, Latishia Rae

Davis, Latishia Rae is an sole proprietor health care provider with primary practice located at 118 S Cherry St Ste D , Kernersville NC 27284-2764. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Davis, Latishia Rae can be contacted via phone (336) 618-6021.

Contact Information

Primary practice address
118 S Cherry St Ste D Kernersville NC 27284-2764
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 8671 North Carolina

Profile Details

NPI number 1922356625
LBN Legal business name Davis, Latishia Rae
Credentials NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2012
Last updated Dec 19th, 2013 - about 12 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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