Gathers, Latoya Bernice

Gathers, Latoya Bernice is an sole proprietor health care provider with primary practice located at 1632 9Th Ave , Conway SC 29527-4848. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Cognitive & Behavioral is her primary health care specialty. Gathers, Latoya Bernice can be contacted via phone (843) 485-5596.

Contact Information

Primary practice address
1632 9Th Ave Conway SC 29527-4848
Phone: (843) 485-5596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1174832174
LBN Legal business name Gathers, Latoya Bernice
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2010
Last updated Aug 29th, 2011 - about 15 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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