Audra Elisabeth Latham in Jacksonville - Mental Health

Audra Elisabeth Latham - NPI 1649338823

Audra Elisabeth Latham is a Mental Health in Jacksonville, Florida. Audra Elisabeth Latham practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Audra Elisabeth Latham is 1649338823. The last update date is 2022-07-21.

Audra Elisabeth Latham's current location address is 10250 Normandy Blvd Unit 802, Jacksonville, Florida. You can contact this provider via phone number 9043797155 and fax number 9043797165. The mailing address for Audra Elisabeth Latham is 10250 Normandy Blvd Unit 802, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Audra Elisabeth Latham
Address 10250 Normandy Blvd Unit 802, Jacksonville, Florida
Phone Number 9043797155
Fax Number 9043797165
Sole Proprietor Y
Credentials LMHC

NPI Number Detail

NPI Number 1649338823
Provider Enumeration Date 2006-12-04
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 10250 Normandy Blvd Unit 802
City Jacksonville
State Florida (FL)
Post Code 322218064
Phone Number 9043797155
Fax Number 9043797165

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No MH8899
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
13943700 FL --

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FAQs about Audra Elisabeth Latham

What is the unique identifier code issued to Audra Elisabeth Latham by the Centers for Medicare & Medicaid Services (CMS)?

The Audra Elisabeth Latham has been assigned the NPI (National Provider Identifier) 1649338823. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Audra Elisabeth Latham's facilities are situated?

The facilities of Audra Elisabeth Latham are physically located at the following address: 10250 Normandy Blvd Unit 802, Jacksonville, FL, 322218064.

What is Audra Elisabeth Latham's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Audra Elisabeth Latham is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1649338823 to Audra Elisabeth Latham?

The Centers for Medicare & Medicaid Services originally issued the 1649338823 to Audra Elisabeth Latham on 2006-12-04.

When was the information regarding Audra Elisabeth Latham, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Audra Elisabeth Latham, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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