LATRINA AVANT (NPI# 1902345408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902345408 |
| Entity Type | Individual |
| Full Name | LATRINA AVANT |
| Practice Address |
164 Mahoney Lane Fort Valley GA 31030 |
| Mailing Address |
164 Mahoney Ln Fort Valley GA 31030-9411 |
| Practice Telephone | 4789730698 |
| Mailing Telephone | 4789730698 |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
164 MAHONEY LANE |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
| 1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
| 1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
| 1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
| 1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
| 1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
| 1215477187 | Gerald Jerome Cook | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2017-02-27 |
| Find all providers in zip 31030 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568901189 | Doretha Pride | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| 1538608104 | Latrell Searcy Cox | Counselor | 7590 Ga Highway 96 E, Fort Valley, GA 31030-5571 | 2017-02-15 |
| 1528494473 | Belinda Marshelle Oates | Counselor | 718 Green St, B202, Fort Valley, GA 31030-4332 | 2013-09-24 |
| 1154342194 | Mahin Pouryaghma | Counselor | 308 Persons St, Fort Valley, GA 31030-4248 | 2006-07-23 |
| 1215477187 | Gerald Jerome Cook | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2017-02-27 |
| 1215476841 | Labarbra Taylor | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| 1083153621 | Janette Johnson | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| 1750820395 | Laton Slappy | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| 1154860708 | Katrina Everett | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| 1467991083 | Druscilla Lockett | Counselor | 108 Mimosa Dr, Fort Valley, GA 31030-3717 | 2017-02-15 |
| Find all providers in FORT VALLEY | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on LATRINA AVANT.
| 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.