Gordon, Latasha Monique
Gordon, Latasha Monique is an sole proprietor health care provider with primary practice located at 5850 Ridge Rd , Parma OH 44129-3169. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gordon, Latasha Monique can be contacted via phone (833) 510-4357.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C.2406556 | Ohio |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LICDC.162742 | Ohio |
Profile Details
| NPI number | 1922459072 |
|---|---|
| LBN Legal business name | Gordon, Latasha Monique |
| Credentials | LICDC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2016 |
| Last updated | Dec 3rd, 2024 - about 2 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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