LATASHA CARR, BLC, CG, D, Professional PHILADELPHIA, PA

Contact Information

LATASHA CARR, BLC, CG, D

1515 MARKET STREET, SUITE 1200
PHILADELPHIA PA 19102
PHILADELPHIA, PA 19102

Phone: 215-854-4095
Fax: 215-569-0216
Website: https://www.dreambig1llc.org

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Addiction (Substance Use Disorder)	101YA0400X
Behavior Analyst	103K00000X
Mental Health	101YM0800X
Pastoral	101YP1600X
School	101YS0200X

Indicates primary specialty

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NPI Profile & details for LATASHA CARR · (Female)

NPI Number	`1912428780`
Status	Active
Credentials	BLC, CG, D
Entity	Individual
Enumeration date	07/03/2017
Last updated	07/03/2017 - About 9 years ago
Sole proprietor ¹	Yes
Identifiers	NC License # 26040102
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

LATASHA CARR, BLC, CG, D – NPI #1912428780Professional

Contact Information

Specialty

Professional

Addiction (Substance Use Disorder)

Behavior Analyst

Mental Health

Pastoral

School

NPI Profile & details for LATASHA CARR · (Female)

LATASHA CARR, BLC, CG, D – NPI #1912428780
Professional