LATESCHA TANAE ALLEN (NPI# 1508366709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508366709 |
| Entity Type | Individual |
| Full Name | LATESCHA TANAE ALLEN |
| Credential | CDCA |
| Practice Address |
200 Daruma Pkwy Moraine OH 45439-7909 |
| Mailing Address |
5521 Liberty Bell Cir Dayton OH 45459-7925 |
| Practice Telephone | 9372623502 |
| Practice Fax Number | 9374965274 |
| Mailing Telephone | 9373019508 |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-02-15 |
| 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) |
100128 | OH | Behavioral Health & Social Service Providers |
| Street Address |
200 DARUMA PKWY |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-7909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174021331 | Robert James Turner | Licensed Practical Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-01-23 |
| 1861010068 | Deidra Mccullough | Registered Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2020-07-14 |
| 1679190201 | Erica L Hill | Licensed Practical Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2020-06-30 |
| 1457973059 | Rebecca Ann O'hara | Registered Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2020-05-18 |
| 1710526488 | Edith N Crider | Registered Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-12-30 |
| 1245880905 | Valerie Lynn Moore | Licensed Practical Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-09-16 |
| 1770145625 | Wendy E Hock | Licensed Practical Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-07-01 |
| 1013572676 | Laneisha Tiant Gardner | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-05-08 |
| 1922566926 | Wei Liu Harlow | Registered Nurse | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-03-08 |
| 1093200594 | Terrance Anthony Smith | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1447809603 | Kaela N Miller | Counselor | 3095 Kettering Blvd, Moraine, OH 45439 | 2019-09-10 |
| 1013572676 | Laneisha Tiant Gardner | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2019-05-08 |
| 1093200594 | Terrance Anthony Smith | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-06-27 |
| 1013406602 | Janice Elaine Sebree | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-05-09 |
| 1568963718 | Karen Desha Tevis | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-02-23 |
| 1093216186 | Rhonda Renee Allen | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-02-23 |
| 1770083982 | Alton Keith Daugherty | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-02-14 |
| 1710487988 | Robert Erving Crimes II | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-02-14 |
| 1285134601 | Joseph Samuel Coleman Jr. | Counselor | 200 Daruma Pkwy, Moraine, OH 45439-7909 | 2018-02-13 |
| Find all providers in MORAINE | ||||
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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.