MS. AUDRA ELISABETH LATHAM


Address: 10250 Normandy Blvd Unit 802, Jacksonville, FL 32221-8064
Phone: 9043797155

MS. AUDRA ELISABETH LATHAM (NPI# 1649338823) 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) 1649338823
Entity Type Individual
Full Name MS. AUDRA ELISABETH LATHAM
Credential LMHC
Practice Address 10250 Normandy Blvd Unit 802
Jacksonville
FL 32221-8064
Mailing Address 9536 Princeton Square Blvd S Apt 2507
Jacksonville
FL 32256-8357
Practice Telephone 9043797155
Practice Fax Number 9043797165
Mailing Telephone (904) 234-4660
Enumeration Date 2006-12-04
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
MH8899 FL Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 013943700 05

Office Location

Street Address 10250 NORMANDY BLVD UNIT 802
City JACKSONVILLE
State FL
Zip Code 32221-8064

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558806646 Alisha Marie Swearingen Nurse Practitioner 10250 Normandy Blvd Unit 802, Jacksonville, FL 32221-8064 2016-12-27
1760925903 Megan Andersen Nurse Practitioner 10250 Normandy Blvd Unit 802, Jacksonville, FL 32221-8064 2016-11-20
1841663655 Katarina A Devault Nurse Practitioner 10250 Normandy Blvd Unit 802, Jacksonville, FL 32221 2015-11-03

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1518497031 Valda M Brown Nurse's Aide 11201 Lothmore Rd, Jacksonville, FL 32221 2017-06-18
1942603899 Pain Medicine Physicians of Jacksonville, LLC Anesthesiology 10250 Normandy Boulevard, Suite 702, Jacksonville, FL 32221 2014-10-07
1376950501 Daniel C Marin Physician Assistant 1584 Normandy Village Pkwy Ste 32, Jacksonville, FL 32221 2014-07-21
1508001850 Lilliam Rivera Registered Nurse 2236 Brian Lakes Dr. E, Jacksonville, FL 32221 2008-12-15
1992979777 La Quenda Mosby Pharr Community Health Worker 10361 Shelby Creek Rd.s, Jacksonville, FL 32221 2008-04-14
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134720519 Ashley Harms Counselor 4070 Herschel St Ste 1, Jacksonville, FL 32210-2239 2020-11-03
1902418684 Molly Ann Burkhardt Counselor 5776 Saint Augustine Rd # 8030, Jacksonville, FL 32207-8046 2020-08-23
1194335638 Aiteria Green Counselor 9713 Bridgeway Ave, Jacksonville, FL 32222-2913 2020-08-07
1053920116 Barbara Burden Counselor 209 N Carole Dr, Jacksonville, NC 28546-4845 2020-07-24
1790393973 Kelley Holladay Counselor 1782 Plantation Oaks Dr, Jacksonville, FL 32223-5010 2020-07-14
1629696646 Mary Ann Caldwell Counselor 2496 Northwoods Dr., Jacksonville, NC 28540 2020-07-07
1447877709 Quendria Johnson-kerns Counselor 200 Zonnie Ln, Jacksonville, NC 28540-9729 2020-07-02
1467077164 Shanna Horan Counselor 13500 Sutton Park Dr S Ste 702, Jacksonville, FL 32224-5290 2020-06-09
1720602527 Shannon E Raikes Counselor 13990 Bartram Park Blvd Unit 209, Jacksonville, FL 32258-5543 2020-06-08
1750905253 Kathlena N Reed Counselor 4131 University Blvd S Fl 32216, Jacksonville, FL 32216-4326 2020-06-01
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Competitor

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City JACKSONVILLE
Zip Code 32221

Improve Information

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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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