MR. CHRISTOPHER DEMETRIUS LATTIMORE (NPI# 1023310026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023310026 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER DEMETRIUS LATTIMORE |
| Credential | CI |
| Practice Address |
3210 Pleasant Valley Ln Ste B Arlington TX 76015-2906 |
| Practice Telephone | 8175576880 |
| Practice Fax Number | 8175576841 |
| Mailing Telephone | 8175576880 |
| Mailing Fax Number | 8175576841 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
6889 | TX | Behavioral Health & Social Service Providers |
| Street Address |
3210 PLEASANT VALLEY LN STE B |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760784755 | Godwin Earl Bettis | Counselor | 3210 Pleasant Valley Ln Ste B, Arlington, TX 76015-2906 | 2010-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180200 | Arika Wydur | Counselor | 23912 27th Ave Ne, Arlington, WA 98223-7629 | 2020-10-07 |
| 1831701051 | Sherry Lynn Fidel | Counselor | 609 E Main St Ste 126, Arlington, TX 76010-1231 | 2020-08-19 |
| 1134743479 | Annia Gabriela Palacios | Counselor | 2101 Prestonwood Dr, Arlington, TX 76012-5418 | 2020-06-02 |
| 1366073736 | Britney Beard | Counselor | 715 N Fielder Rd Ste A, Arlington, TX 76012 | 2020-02-04 |
| 1295397180 | Gary Zabunian | Counselor | 2523 Washington Blvd, Arlington, VA 22201-1117 | 2019-07-01 |
| 1811331200 | Denesh Singh | Counselor | 1521 N Cooper St Ste 208, Arlington, TX 76011-5522 | 2013-04-29 |
| 1568722445 | Kelli Jeanne Roark | Counselor | 4511 188th St Ne, Arlington, WA 98223-7778 | 2012-05-24 |
| 1306122718 | Liselotte Caroline Draney | Counselor | 602 N Edgewood St, Arlington, VA 22201-1932 | 2011-10-30 |
| 1366778110 | Janice D Dolan | Counselor | 214 Billings St, Suite 240, Arlington, TX 76010-5404 | 2009-10-29 |
| 1699908194 | Melanie Lynn Mccollum | Counselor | 25504 E Lake Armstrong Rd, Arlington, WA 98223 | 2009-08-31 |
| Find all providers in ARLINGTON | ||||
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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.