Wiggins, Latiesha Davis
Wiggins, Latiesha Davis is an individual health care provider with primary practice located at 5750 Chesapeake Blvd Ste 105 , Norfolk VA 23513-5325. 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Wiggins, Latiesha Davis can be contacted via phone (757) 966-1728.Contact Information
Primary practice address
5750 Chesapeake Blvd Ste 105
Norfolk VA 23513-5325
Phone: (757) 966-1728
Fax: (757) 282-7866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710103279 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0704015011 | Virginia |
Profile Details
| NPI number | 1851880827 |
|---|---|
| LBN Legal business name | Wiggins, Latiesha Davis |
| Credentials | CSAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2018 |
| Last updated | Apr 14th, 2024 - 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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