LATISHA SHAW NPI 1932972114

NPI Information

NPI: 1932972114
Provider Name: LATISHA SHAW
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 346-0960
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Latisha Shaw is a peer specialist in Huntington Park, CA. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Latisha Shaw NPI is 1932972114. 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:

2677 ZOE AVE STE 304
HUNTINGTON PARK, CA
ZIP 90255-699
Phone: (323) 346-0960

The enumeration date for this NPI number is 10/31/2023 and was last updated on 10/31/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225400000X	Rehabilitation Practitioner				No
2	175T00000X	Peer Specialist				Yes

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: 5/5/2024

NPI Synchronization or Removal

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