MRS. LATASHA SHANTAE MARTIN


Address: 4611 Hard Scrabble Rd, Pmb #351, Columbia, SC 29229-8584
Phone: 8033970174

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor 5243 SC Behavioral Health & Social Service Providers

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1326589318 Latasha Rachell Martin Nurse Practitioner 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 2017-03-10
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Office Location

Street Address 4611 HARD SCRABBLE RD
PMB #351
City COLUMBIA
State SC
Zip Code 29229-8584

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City COLUMBIA
Zip Code 29229

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Dataset Information

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.

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