Doctor Name: | HANNAH LATTA |
NPI Number: | 1003166265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LPC |
License Number: | 5632 |
Business Practice Address: | 415 Barr Rd Lexington, SC - 290722371 |
Business Phone Number: | 8035468228 |
Business Fax Number: | |
Mailing Address: | 160 Dutch Oaks Dr, IRMO |
State: | SC |
Postal Code: | 290637794 |
Phone Number: | 8035468228 |
Fax Number: | |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5632 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |