MASHEIL RENAY LATHAM (NPI# 1356638340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356638340 |
| Entity Type | Individual |
| Full Name | MASHEIL RENAY LATHAM |
| Other Name | MASHEIL RENAY MCCLENDON |
| Practice Address |
48 Madison Ave Lindenwold NJ 08021-1621 |
| Practice Telephone | 8563439429 |
| Mailing Telephone | 8563439429 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2014-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 990367213 | NJ | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
990367213 | NJ | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 990367213 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
48 MADISON AVE |
| City | LINDENWOLD |
| State | NJ |
| Zip Code | 08021-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| 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 |
|---|---|---|---|---|
| 1881167690 | Nneka Stephanie Adebi Jr. | Counselor | 411 E Gibbsboro Rd Apt 217, Lindenwold, NJ 08021-1806 | 2019-01-03 |
| 1174939417 | Alisha Kathlyn Thomas | Counselor | 405 Ashbourne Ave, Lindenwold, NJ 08021-2620 | 2014-07-08 |
| 1902356942 | Gabrielle Powell | Counselor | 91 Oak St, Apt C17, Lindenwold, NJ 08021-2402 | 2016-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211330 | Allison Herman | Counselor | 85 Bay St Apt 2a, Montclair, NJ 07042-4847 | 2020-09-29 |
| 1558977884 | Kiki Tamika Black | Counselor | 603 Hamilton Rd, South Orange, NJ 07079-2709 | 2020-09-22 |
| 1003421124 | Kelli Aida Karver | Counselor | 854 Asbury Ave Fl 2, Ocean City, NJ 08226-3600 | 2020-09-15 |
| 1942815162 | Eleanor Leanna Holder-elcock | Counselor | 1326 Lake St, Plainfield, NJ 07060-3126 | 2020-09-14 |
| 1750996229 | Keith C Ross | Counselor | 186 Roosevelt Ave, Howell, NJ 07731-8542 | 2020-09-11 |
| 1821601055 | Marina Seunath | Counselor | 101 Mountain Ct, Hackettstown, NJ 07840-2300 | 2020-08-27 |
| 1467065870 | Miatta Brownson | Counselor | 522 Otto Ave, Edgewater Park, NJ 08010-2012 | 2020-08-25 |
| 1255941472 | Holistic Behavioral Solutions | Counselor | 65 S Main St Ste C001, Pennington, NJ 08534-2822 | 2020-08-03 |
| 1093323198 | Meaghan Isabel Murphy Donnelly | Counselor | 866 Wyoming Ave, Maywood, NJ 07607-1713 | 2020-07-15 |
| 1235757394 | Antonio Morais | Counselor | 99 Bayard St Bsmt 1, New Brunswick, NJ 08901-2184 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | LINDENWOLD |
| Zip Code | 08021 |
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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.