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Provider Information for 1902380405


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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LATASHA BILLINGSLEA LAMFT


Sex: Female

NPI: 1902380405
Last Updated: 2018-09-20
Certification Date:

Details

NameValue
NPI1902380405
Enumeration Date2018-09-20
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1640 POWERS FERRY RD
BLG 7, STE 300
MARIETTA, GA 30067
United States

Phone: 678-764-6047 | Fax:
 
Primary Practice Address 1640 POWERS FERRY RD
BLG 7, STE 300
MARIETTA, GA 30067
United States

Phone: 678-764-6047 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist GAAMFT000340