Organization
DR LATISHA DAILEY LLC
Active
Other names
Dr Latisha Dailey LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA DAILEY BACHELOR DEGREES (MENTAL BEHAVIOR)
(251) 359-6459
Entity
Organization
Contact information
Practice address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Mailing address
150 PATTERSON ST, ATMORE, AL 36502-1818
(251) 359-6459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871202549
—
AL
Enumeration date
12/27/2022
Last updated
12/27/2022
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