LATISHA B COWAN (NPI# 1316564370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316564370 |
| Entity Type | Individual |
| Full Name | LATISHA B COWAN |
| Practice Address |
1706 Wayne Memorial Dr Goldsboro NC 27534-2240 |
| Practice Telephone | 9197346676 |
| Practice Fax Number | 9192387919 |
| Mailing Telephone | 9197346676 |
| Mailing Fax Number | 9192387919 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
26505 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1706 WAYNE MEMORIAL DR |
| City | GOLDSBORO |
| State | NC |
| Zip Code | 27534-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316988959 | James T. Smith | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2006-06-08 |
| 1487267902 | Kenneth Freeman | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2020-08-25 |
| 1629693981 | Alyse B Deselms | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2020-06-12 |
| 1669000279 | Dori Oxendine Akasson | Social Worker | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2020-03-30 |
| 1316586456 | Candra Nikita Edwards | Social Worker | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2020-01-06 |
| 1962049106 | Forrest Cody Robinson | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2019-12-06 |
| 1215588173 | Andie Lorin Strickland | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2019-09-23 |
| 1972096451 | Jimmy Ballard Harrell | Psychologist | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2018-06-11 |
| 1467942904 | Halle J Clark | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2018-05-10 |
| 1962991166 | Benjamin James Baldwin | Counselor | 1706 Wayne Memorial Dr, Goldsboro, NC 27534-2240 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457875767 | Trent Jonathan Forshey | Physical Therapist | 2126 Wayne Memorial Dr, Goldsboro, NC 27534 | 2017-07-28 |
| 1336685551 | Wayne Al Holdings, LLC | Assisted Living Facility | 901 West New Hope Rd, Goldsboro, NC 27534 | 2017-01-11 |
| 1952845471 | Latoya Faulk | Social Worker | 121 Carolina Forest Drive, Goldsboro, NC 27534 | 2016-12-19 |
| 1528415841 | Kelby Joseph Sage Durnin | Military Health Care Provider | 1020 Jabara Avenue, Seymour Johnson Afb, NC 27534 | 2016-05-17 |
| 1528490604 | Eric Christian Bourgeois | Physical Therapist | 1101a Gracie Pl, Goldsboro, NC 27534 | 2013-07-31 |
| 1831439165 | Erica Nicole Davis | Optometrist | 20/20 Vision Center 625 North Berkeley Blvd, Suite D, Goldsboro, NC 27534 | 2013-02-23 |
| 1891039236 | Betty Webb Zimmerman | Nurse Practitioner | 204 Cox Blvd, Goldsboro, NC 27534 | 2012-11-26 |
| 1144595265 | Life Recovery Psychological Services | Counselor | 1202-c Wayne Memorial Dr, Goldsboro, NC 27534 | 2012-03-22 |
| 1558596536 | Taylor Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 802 Taylor St, Goldsboro, NC 27534 | 2009-05-20 |
| 1780895136 | Sherrie Fennell Edwards | Dietitian, Registered | 1500 Lanely Ave., Seymour Johnson Afb, Golsboro, NC 27534 | 2007-05-25 |
| Find all providers in zip 27534 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456163 | Fallon Middle Williams | Counselor | 127 Westview Meadows Dr, Goldsboro, NC 27530-9589 | 2020-10-30 |
| 1700422698 | Nakia Pearson | Counselor | 701 S George St Ste 7, Goldsboro, NC 27530-5717 | 2019-11-26 |
| 1649812017 | La'vada Rawls | Counselor | 1700 E Ash St Ste 200, Goldsboro, NC 27530-4097 | 2019-10-17 |
| 1992362719 | Latasha Monique Dais | Counselor | 530 W New Hope Rd Apt A4, Goldsboro, NC 27534-7584 | 2019-05-28 |
| 1689134827 | Angelene Thomas | Counselor | 200 W Ash St Ste 203, Goldsboro, NC 27530-3679 | 2019-03-22 |
| 1457866105 | Simplicity Counseling Services Pllc | Counselor | 662 N Spence Ave, Goldsboro, NC 27534-4233 | 2017-12-04 |
| 1952848491 | Marquita Hooker | Counselor | 215 W Lockhaven Dr, Apt. D, Goldsboro, NC 27534-1688 | 2017-01-23 |
| 1972923589 | David Lester | Counselor | 1021 N Berkeley Blvd, Goldsboro, NC 27534-3415 | 2014-04-22 |
| 1316369952 | Angela Brittingham | Counselor | 113 Sanderling Way, Goldsboro, NC 27530 | 2014-01-16 |
| 1750718995 | Vernetta Lugene Smith | Counselor | 400 W New Hope Rd, Goldsboro, NC 27534-7470 | 2013-10-02 |
| Find all providers in GOLDSBORO | ||||
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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.