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).
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 |
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 |
Street Address |
1632 9TH AVE |
City | CONWAY |
State | SC |
Zip Code | 29527-4848 |
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 |
Find all providers in zip 29527 |
Taxonomy Code | 103TB0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Cognitive & Behavioral |
Definition to come... |
Notes: [1/1/2007: title modified] |
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 |
Find all providers with the same taxonomy |
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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.