Waters, Latisha Nichole
Waters, Latisha Nichole is an individual health care provider with primary practice located at 6040 Public Landing Rd , Snow Hill MD 21863-2453. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Waters, Latisha Nichole can be contacted via phone (410) 632-1100.Contact Information
Primary practice address
6040 Public Landing Rd
Snow Hill MD 21863-2453
Phone: (410) 632-1100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1811469810 |
|---|---|
| LBN Legal business name | Waters, Latisha Nichole |
| Credentials | LGPC, LGADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2019 |
| Last updated | Dec 17th, 2020 - about 6 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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