LATISHA JACKSON (NPI# 1831313170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831313170 |
| Entity Type | Individual |
| Full Name | LATISHA JACKSON |
| Practice Address |
125 E Cheves St Florence SC 29506-2526 |
| Practice Telephone | 8433174089 |
| Mailing Telephone | 8433174089 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |
| 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 |
|---|---|---|---|
| SC | 376241 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595200 | Latisha Lashon Jackson | Social Worker | 164 Waccamaw Medical Park Dr, Conway, SC 29526-8903 | 2019-02-26 |
| 1922577196 | Latisha Ranae Jackson | Behavior Technician | 260 Peachtree St Nw Ste 2200, Atlanta, GA 30303-1292 | 2018-11-17 |
| 1861977639 | Latisha Jackson | Counselor | 3073 Salt Lake Rd, Indianapolis, IN 46214-1432 | 2018-09-27 |
| 1487912580 | Latisha Evette Jackson | Counselor | 4417 Oasis Plains Ave, North Las Vegas, NV 89085-2334 | 2012-04-25 |
| 1134408636 | Latisha Jackson | Counselor | 2500 Rike Dr, Pine Bluff, AR 71603-3937 | 2011-08-15 |
| 1548446537 | Latisha Nicole Jackson | Counselor | 820 23rd St, Richmond, CA 94804-1338 | 2008-01-21 |
| Street Address |
125 E CHEVES ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29506-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205925567 | South Carolina Dept of Mental Health Accounting Office | Clinic/Center | 125 E Cheves St, Florence, SC 29506-2526 | 2006-10-12 |
| 1679174833 | Pee Dee Mental Health Center | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-11-04 |
| 1528669884 | Ashley N Hennigan | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-11-03 |
| 1073113031 | South Carolina Dept of Mental Health Accounting Office | Nurse Practitioner | 125 E Cheves St, Florence, SC 29506-2526 | 2020-10-29 |
| 1306455183 | Avis Mcbride | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-07-28 |
| 1457973141 | Denitia Carter | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-05-15 |
| 1558990762 | Cynthia Veronica Ford | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-04-08 |
| 1194359604 | Sharon Mclain | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-02-24 |
| 1649802927 | Madison Lynn Byrd | Counselor | 125 E Cheves St, Florence, SC 29506-2526 | 2020-02-05 |
| 1255961934 | Ashley M Richardson | Case Manager/Care Coordinator | 125 E Cheves St, Florence, SC 29506-2526 | 2020-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871001693 | Med Way Ambulance Service, LLC | Ambulance | 1627 E Palmetto St, Florence, SC 29506 | 2018-01-15 |
| 1851810261 | Daijavon Jaquita Mccall | Specialist/Technologist | 1207 Malloy Street, Florence, SC 29506 | 2017-09-18 |
| 1629453873 | Rebecca Diboni | Pharmacist | 501 E Cheves St, Suite D, Florence, SC 29506 | 2015-07-29 |
| 1710365846 | Tiffany Joann Williams | Counselor | 205 Pearl Cir Florence, Sc, SC 29506 | 2015-05-08 |
| 1275925091 | Joe Brice Williamson Jr. | Pharmacist | 501 E. Cheves St., Suite D, Florence, SC 29506 | 2015-03-03 |
| 1528474632 | La'keisha Coker | Dietitian, Registered | 145 E. Cheves St., Florence County Health Department, Florence, SC 29506 | 2014-07-09 |
| 1275948085 | Patrick Kevin Mccarthy | Dietitian, Registered | 145 East Cheves Street, Florence County Health Dept., Florence, SC 29506 | 2014-07-01 |
| 1073931655 | Gwen A Davis | Registered Nurse | 145 E Cheves Street, Sc Dhec Pee Dee Region, Florence, SC 29506 | 2014-04-01 |
| 1205267879 | Jessica Turner | Physical Therapist | 555 E Cheves St., Inpatient Rehab Department, Florence, SC 29506 | 2013-12-09 |
| 1700213923 | Pamela Orange | Nurse's Aide | 2501 Sparklberry Lane, Florence, SC 29506 | 2013-10-02 |
| Find all providers in zip 29506 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674520 | Maria Margarita Bamber | Counselor | 60 Cathy Lane, Suite 103, Florence, NJ 08518 | 2020-09-16 |
| 1477179315 | Fredna Leigh Georgen | Counselor | 615 Highway 469 N, Florence, MS 39073-8928 | 2020-06-16 |
| 1053944066 | Janice C Lemon | Counselor | 128 Beechtree Ln, Florence, MS 39073-8246 | 2020-02-18 |
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1902443450 | Unalome Counseling & Consulting | Counselor | 2222 Chisholm Rd Ste 14, Florence, AL 35630-1346 | 2019-12-03 |
| 1528614591 | Therapy Village LLC | Counselor | 2081 Florence Blvd, Florence, AL 35630-2751 | 2019-08-14 |
| 1922565399 | Lrb Youth Development | Counselor | 3654 S Irby St, Florence, SC 29505-5225 | 2019-02-21 |
| 1659879559 | Christina Shrader | Counselor | 71 Cavalier Blvd Ste 113, Florence, KY 41042 | 2018-01-25 |
| 1538674494 | Northampton Center for Couples Therapy, LLC | Counselor | 40 Main St Ste 206, Florence, MA 01062-3100 | 2017-12-13 |
| 1679087357 | Heather Marie Lodwig | Counselor | 20075 Old Us Highway 93, Florence, MT 59833-6000 | 2017-11-17 |
| Find all providers in FLORENCE | ||||
Please comment or provide details below to improve the information on LATISHA JACKSON.
| 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.