DR. LATOYA BERNICE GATHERS


Address: 1632 9th Ave, Conway, SC 29527-4848
Phone: 8434855596

DR. LATOYA BERNICE GATHERS (NPI# 1174832174) 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) 1174832174
Entity Type Individual
Full Name DR. LATOYA BERNICE GATHERS
Credential ED.D
Practice Address 1632 9th Ave
Conway
SC 29527-4848
Mailing Address 1908a Hawkins St
Georgetown
SC 29440-3078
Practice Telephone 8434855596
Mailing Telephone 8434855596
Mailing Fax Number 8435460257
Enumeration Date 2010-09-25
Last Update Date 2011-08-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101Y00000X Counselor Behavioral Health & Social Service Providers
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers

Office Location

Street Address 1632 9TH AVE
City CONWAY
State SC
Zip Code 29527-4848

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245511435 Rocky Mountain Holdings LLC Ambulance 1700 Airport Road, Conway, SC 29527 2011-09-01
1295946838 Bonnie Jean Miller Occupational Therapy Assistant 3300 4th. Ave., Conway, SC 29527 2007-05-25
1255987269 Mansi D Patel In Home Supportive Care 2408 Westbrook Dr, Conway, SC 29527-3150 2019-08-15
1104862788 James R Bean Physician Assistant 1013 Dunraven Ct, Conway, SC 29527-3154 2006-06-21
1194255315 Canisha Sharron Rice Home Health 1213 Cymmer Ct, Conway, SC 29527-3165 2017-06-20
1578968988 Pshanda Chante Pugh Counselor 1208 Dunraven Ct, Conway, SC 29527-3170 2014-10-28
1205457017 Heather Melton Lee Specialist/Technologist 252 Maidens Choice Rd, Conway, SC 29527-3418 2020-05-04
1093336760 Chelsea Kamens Registered Nurse 357 Shallow Cove Dr, Conway, SC 29527-3458 2020-05-04
1538628193 Jasmine L Gaddy Home Health 728 Rose Moss Rd, Conway, SC 29527-3579 2019-03-13
1801213327 Tonya Peavy Registered Nurse 729 Brown Swamp Rd, Conway, SC 29527-3636 2014-03-21
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750810214 Jenice Ivette Green Psychologist 801 Oakwood St Apt 6g, Bennettsville, SC 29512-2465 2017-06-08
1770948457 Lorraine Tavarez Lopez Psychologist 1 Windsor Cv Ste 404, Columbia, SC 29223-1833 2015-12-22
1265847255 Tracy Redfearn Inc. Psychologist 702b W Carolina Ave, Hartsville, SC 29550-4412 2014-06-27
1356604466 Brittany Moree Rudy Psychologist 127 W Antrim Dr, Greenville, SC 29607-2505 2012-06-22
1376847483 Susan Kreh Beck Psychologist 304 Firebridge Rd, Columbia, SC 29223-5122 2011-01-04
1710215520 James Reid Psychologist 670 Blvd De France, Parris Island, SC 29905 2009-12-07
1710212196 Tabitha Delaina Ball Psychologist 1199 Chivalry St, Sumter, SC 29154-7412 2009-10-02
1346410446 William Harrison Wells Psychologist 1665 Herlong Ct Ste B, Rock Hill, SC 29732-1193 2008-03-04
1164692497 Michael Gene Dodson Psychologist 145 Veranda Lane, Aiken, SC 29803-4907 2008-03-03
1437363330 Joshua Gordon Chinitz Psychologist 1578 Dowden Ct, Charleston, SC 29407-5011 2007-05-09
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Competitor

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City CONWAY
Zip Code 29527

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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