LATISHA M FOWLER (NPI# 1275850760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275850760 |
| Entity Type | Individual |
| Full Name | LATISHA M FOWLER |
| Credential | PH.D. |
| Practice Address |
68 W Church St Ste 318 Newark OH 43055-5050 |
| Mailing Address |
3850 Wesley Chapel Rd Zanesville OH 43701-7158 |
| Practice Telephone | 7402811777 |
| Practice Fax Number | 7402811778 |
| Mailing Telephone | (740) 221-5085 |
| Mailing Fax Number | 7402811778 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2018-03-17 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0211419 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2845 Bell St, Zanesville, OH 437011720 | 7404549766 | 7405886452 |
| Street Address |
68 W CHURCH ST STE 318 |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-5050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124597810 | Abibatu Dainkeh | Counselor | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2018-11-25 |
| 1023500469 | Aaron Clark | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2018-06-01 |
| 1316447428 | Caitlin J Handley | Case Manager/Care Coordinator | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2018-02-15 |
| 1225538333 | Jennifer Parks | Psychologist | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2018-02-15 |
| 1376058685 | Kelsey Louise Hall | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2017-12-08 |
| 1265946776 | Justin Porter | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2017-11-20 |
| 1184154270 | Christine Rager | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2017-06-13 |
| 1932501566 | Carol J. Kelly | Social Worker | 68 W Church St Ste 318, Newark, OH 43055-5050 | 2014-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502115 | Jaclyn Marie Tomasetti | Counselor | 5 Cognac Dr, Newark, DE 19702-5507 | 2020-09-14 |
| 1770195422 | Emily S Moley | Counselor | 125 Blossom Rd, Newark, NY 14513-2010 | 2020-08-23 |
| 1871104000 | Jump Kids LLC | Counselor | 16 Foster St, Newark, NJ 07114-1327 | 2020-08-11 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1992328587 | Steven Forrester Coleman Sr. | Counselor | 276 E Main St Ste 203, Newark, DE 19711-7356 | 2020-05-18 |
| 1851912620 | Shaista Sowell | Counselor | 162 Clinton Pl, Newark, NJ 07112-1602 | 2020-05-02 |
| 1861024838 | Judith Benedict Pantalino | Counselor | 950 Library Avenue, Suite 104, Newark, DE 19711 | 2020-02-07 |
| 1275173049 | Ibn Abdush Musa Ahmad | Counselor | 182 Johnson Ave, Newark, NJ 07108-2709 | 2020-01-09 |
| 1629617303 | Alyana Blythe | Counselor | 262 Chapman Rd Bldg Suite100, Newark, DE 19702-5448 | 2019-12-30 |
| 1194364141 | Healing Source LLC | Counselor | 35 Wenark Dr Apt 2, Newark, DE 19713-1445 | 2019-12-21 |
| Find all providers in NEWARK | ||||
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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.