Sullivan, Latasha C

Sullivan, Latasha C is an individual health care provider with primary practice located at 1425 Starr Ave , Toledo OH 43605-2456. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Sullivan, Latasha C can be contacted via phone (419) 693-0631.

Contact Information

Primary practice address
1425 Starr Ave Toledo OH 43605-2456
Phone: (419) 693-0631
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X E.1700170-SUPV Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E1700170 Ohio

Profile Details

NPI number 1164951547
LBN Legal business name Sullivan, Latasha C
Credentials M.ED., LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2017
Last updated Feb 4th, 2026 - about 8 months 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.

Request for update

Popular Providers