MRS. LATASHA SHANTAE MARTIN (NPI# 1265730238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265730238 |
Entity Type | Individual |
Full Name | MRS. LATASHA SHANTAE MARTIN |
Credential | ED.S, LPC |
Practice Address |
4611 Hard Scrabble Rd Pmb #351 Columbia SC 29229-8584 |
Practice Telephone | 8033970174 |
Practice Fax Number | 8034038747 |
Mailing Telephone | 8033970174 |
Mailing Fax Number | 8034038747 |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 5243 | SC | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497296263 | Latasha Martin | Nurse Practitioner | 2600 Mlk Jr Dr Sw, #100, Atlanta, GA 30311-1636 | 2017-03-14 |
1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
1366816852 | Latasha Martin | Registered Nurse | 14126 County Road 428, Newberry, MI 49868-7762 | 2015-11-20 |
Street Address |
4611 HARD SCRABBLE RD PMB #351 |
City | COLUMBIA |
State | SC |
Zip Code | 29229-8584 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356337216 | Ky Allen Borgstadt | Chiropractor | 4611 Hard Scrabble Rd, Suite 115, Columbia, SC 29229-9453 | 2005-09-26 |
1750989083 | Kimberly Ragle | Registered Nurse | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2020-10-09 |
1851769087 | Lacey Paschal | Pharmacist | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2015-09-03 |
1255732871 | Reciprocate1906, LLC | Counselor | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2014-09-15 |
1063758795 | Marc S Steele | Pharmacist | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2012-12-28 |
1508102369 | Nadia D'carlo Holbert | Pharmacist | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2012-12-26 |
1982940193 | Jourdan Macy | Pharmacist | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2012-12-14 |
1346443629 | Jennifer Lyn Williams | Pharmacist | 4611 Hard Scrabble Rd, Pharmacy, Columbia, SC 29229-8584 | 2007-06-06 |
1730129172 | Publix Super Markets Inc | Pharmacy | 4611 Hard Scrabble Rd, Columbia, SC 29229-8584 | 2006-06-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194332619 | Candid South Carolina, P.C. | Dentist | 136-4 Forum Drive #a20, Columbia, SC 29229 | 2020-09-29 |
1275166761 | Isis Marie Pearson | Behavior Technician | 4611 Hardscrabble Rd, #239, Columbia, SC 29229 | 2020-02-13 |
1083254338 | Lintiya Mccleary | Behavior Technician | 1048 Wildewood Center Dr, Columbia, SC 29229 | 2020-01-14 |
1538702873 | Genuine Care LLC | Home Health Aide | 112 Denby Cir, Columbia, SC 29229 | 2019-10-18 |
1588218028 | John Calvin Thorne Iv | Pharmacist | 175 Forum Drive, Columbia, SC 29229 | 2019-08-01 |
1801303839 | Eye Associates of Columbia Inc | Clinic/Center | 470-5 Town Center Pl, Lenscrafters, Columbia, SC 29229 | 2017-12-28 |
1508385469 | Palmetto Community Group | Counselor | 402 Nautique Circle, Columbia, SC 29229 | 2017-09-12 |
1245754472 | Fernandez Interpreter & Translator Solutions | Interpreter | 140 Rivendale Drive, Columbia, SC 29229 | 2017-07-30 |
1770935744 | Yasmine Gamil Gabr | Family Medicine | 103 Summit Centre Drive, Columbia, SC 29229 | 2016-07-01 |
1386095164 | Mack's Loving Care | Home Health | 55 Crooked Creek Place, Columbia, SC 29229 | 2016-06-23 |
Find all providers in zip 29229 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
1407491830 | Mariah Keathley | Counselor | 201 W Broadway Ste 2f, Columbia, MO 65203-3842 | 2019-11-08 |
1962058719 | Lindsey Howard | Counselor | 610 Poplar St, Columbia, PA 17512-2101 | 2019-08-16 |
1174085138 | Debra A Parker | Counselor | 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 | 2019-04-01 |
1881152817 | Change Your Reality | Counselor | 729 True St Apt 3, Columbia, SC 29209-1659 | 2019-03-08 |
1104393487 | Makida Bey | Counselor | 9850 Softwater Way, Columbia, MD 21046-1887 | 2018-10-25 |
1942788542 | Holistic Health Advancements, LLC | Counselor | 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 | 2018-08-06 |
1811483761 | Live.balanced.life.llc | Counselor | 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 | 2018-07-03 |
1053811729 | Sarah Ann Galatta | Counselor | 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 | 2018-02-19 |
Find all providers in COLUMBIA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.