Individual
LATISHA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147-8235
(614) 726-7359
Mailing address
2860 BOUDINOT AVE APT 7, CINCINNATI, OH 45238-2460
(513) 364-9436
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
04/02/2026
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