Individual
LATOYA DIXON DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHS AS, CMS
Contact information
Practice address
400 E STATE ST STE D, ATHENS, OH 45701-1870
(866) 534-2639
(800) 480-7578
Mailing address
5012 HAWKSTONE DR, SANFORD, FL 32771-5414
(407) 285-9827
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
OH
251B00000X
Case Management Agency
—
OH
251S00000X
Community/Behavioral Health Agency
Primary
—
OH
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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