Latesha Gardner, LPC
Individual provider Active NPI Professional Counselor · Calera, AL
NPI 1134522014 · NPPES record last updated Oct 6, 2014
Key facts
- NPI
- 1134522014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 3202 (AL)
- Practice address
- 422 16TH St
Calera, AL 35040-6334 - Phone
- (205) 410-9775
- NPI assigned
- Oct 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3202 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trybecca Counseling | Current |
Accepting new patients |
Locations
3100 Lorna Rd
Ste 300
Hoover, AL 35216
Phone (205) 238-5779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3202 | AL | Yes |
Addresses
Primary practice location
422 16TH St
Calera, AL 35040-6334
Mailing address
422 16TH St
Calera, AL 35040-6334
Other providers in Calera, AL
- Carolyn Brines Ford
- Margaret Ashley Ford
- Tiara Fountain
- Kristie Franks
- Steven Christopher Franks
- Gary L. Howard MD PC
- Rebecca Gay
- Gentle Hands Sitters Services LLC
- Anita Gibson
- Tamera Dean Giles
All providers in Calera, AL · Professional Counselor in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.