Gardner, Latasha
Gardner, Latasha is an individual health care provider with primary practice located at 816 Broad St Suite 23, Meriden CT 06450-4350. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gardner, Latasha can be contacted via phone (203) 630-2499.Contact Information
Primary practice address
816 Broad St Suite 23
Meriden CT 06450-4350
Phone: (203) 630-2499
Fax: (203) 630-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2820 | Connecticut |
Profile Details
| NPI number | 1235584095 |
|---|---|
| LBN Legal business name | Gardner, Latasha |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 29th, 2016 |
| Last updated | Apr 29th, 2016 - about 10 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 | 1235584095 | NPPES |
| Connecticut | MEDICAID | 008062953 |
Popular Providers
-
Vath, Angela R
134 State St , Meriden CT 06450-3293 -
Egozcue, Kenia Esther
12 Curtis St Ste 21 , Meriden CT 06450-5900 -
Maldonado, Kate E
1347 E Main St , Meriden CT 06450-4854 -
O'Keefe, Spencer
107 Horton Ave , Meriden CT 06450-6014 -
Silva, Bryam
384 Pratt St , Meriden CT 06450-8627 -
Celone, Nicole Lapointe
384 Pratt St , Meriden CT 06450-8627 -
Belcourt, Jason Tyler
883 Paddock Ave , Meriden CT 06450-7044 -
Troop, Marni
265 Brownstone Rdg , Meriden CT 06451-3669