Parker, Latia R
Parker, Latia R is an sole proprietor health care provider with primary practice located at 2508 E 71St St Suite C, Tulsa OK 74136-5572. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Parker, Latia R can be contacted via phone (918) 794-6570.Contact Information
Primary practice address
2508 E 71St St Suite C
Tulsa OK 74136-5572
Phone: (918) 794-6570
Fax: (918) 340-5189
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 659 | Oklahoma |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3343 | Oklahoma |
Profile Details
| NPI number | 1164669149 |
|---|---|
| LBN Legal business name | Parker, Latia R |
| Credentials | LADC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2009 |
| Last updated | Sep 30th, 2015 - 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 | 1164669149 | NPPES |
| Oklahoma | MEDICAID | 200232480A |
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