Individual
LATOYA LATRICE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3929 ROCKY RIVER DR, CLEVELAND, OH 44111-4153
(216) 252-5800
Mailing address
4106 PRINCETON BLVD, SOUTH EUCLID, OH 44121-2343
(216) 849-0111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.0900508
OH
172V00000X
Community Health Worker
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/23/2018
Last updated
05/16/2024
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