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MRS. LATASHA SHANTAE MARTIN ED.S LPC NPI 1265730238


NPI Information

NPI: 1265730238
Provider Name: MRS. LATASHA SHANTAE MARTIN, ED.S, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
4611 HARD SCRABBLE RD
PMB #351
COLUMBIA, SC
ZIP 29229
Phone: (803) 397-0174
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MRS. Latasha Shantae Martin, ED.S, LPC is a counselor in Columbia, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Latasha Shantae Martin, ED.S, LPC NPI is 1265730238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4611 HARD SCRABBLE RD
PMB #351
COLUMBIA, SC
ZIP 29229-584
Phone: (803) 397-0174
Fax: (803) 403-8747

The enumeration date for this NPI number is 3/1/2011 and was last updated on 3/1/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor5243SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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