Latasha Matthews, LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

APC002122 Issued in GA

Legal business name

LATASHA MATTHEWS, LLC

Practice address

392 Clearsprings Drive
Lawrenceville, GA 30046

Phone

(404) 914-2521

NPI assigned

Oct 18, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latasha Matthews, LAPCNPI 1245508993

Title

Licensed Therapist

Phone

(404) 914-2521

Specialties & licenses 1

Addresses

Tax ID family

Illumination Counseling and Coaching LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Illumination Counseling and Coaching, LLC

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1225409923
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Latasha Matthews

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1245508993
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1972813541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 CLEARSPRINGS DRIVE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 CLEARSPRINGS DRIVE",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30046",
            "telephone_number": "404-914-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATASHA MATTHEWS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_title_or_position": "LICENSED THERAPIST",
        "authorized_official_telephone_number": "404-914-2521",
        "authorized_official_credential": "LAPC"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "APC002122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Laosun
• Lorraine Laura Laplace, FNP
• Kourtney Marie Lark, SLP/CF
• Kevin Ramone Larkins, LPC
• Clare Lashley, M.A, CCC-SLP
• Carrie Latham, MCD, CCC-SLP
• Anshena Marie Latimore, RDN, LD, CNSC
• Lauren Steiner Latta, DPT
• Laura C Davis DDS
• Valerie Laurnce

• Mental Illness Community Based Residential Treatment Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.