Wadley, Latisha
Wadley, Latisha is an sole proprietor health care provider with primary practice located at 3510 Linwood Ave , Shreveport LA 71103-4512. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Wadley, Latisha can be contacted via phone (318) 218-7193.Contact Information
Primary practice address
3510 Linwood Ave
Shreveport LA 71103-4512
Phone: (318) 218-7193
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | PLM1580 | Louisiana |
Profile Details
| NPI number | 1891168092 |
|---|---|
| LBN Legal business name | Wadley, Latisha |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2015 |
| Last updated | May 8th, 2025 - about last year |
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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