Active NPI
Latasha Billingslea, LAMFT
- Marriage & Family Therapist
- Marietta, GA
National Provider Identifier
1902380405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT000340
- Practice address
- 1640 Powers Ferry Rd
BLG 7, Ste 300
Marietta, GA 30067 - Phone
- (678) 764-6047
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | AMFT000340 | GA | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd
BLG 7, Ste 300
Marietta, GA 30067
Mailing address
1640 Powers Ferry Rd
BLG 7, Ste 300
Marietta, GA 30067
Phone (678) 764-6047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT000340 | GA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1902380405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD",
"address_2": "BLG 7, STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "678-764-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD",
"address_2": "BLG 7, STE 300",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30067",
"telephone_number": "678-764-6047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLINGSLEA",
"first_name": "LATASHA",
"credential": "LAMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "AMFT000340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.