Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LATASHA A THOMAS-FULLER
Active Sole ProprietorMRS. LATASHA A THOMAS-FULLER is a Behavioral Health, Residential healthcare provider located in SPRING LAKE, North Carolina. NPI 1538367859 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · SPRING LAKE, NC
Registration Details
- NPI Number
- 1538367859
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 9, 2007 (19.134257260183 yrs)
- Last Updated
- Aug 5, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
79 GUILFORD CTSPRING LAKE, NC, 283907058Browse NC providers · Browse ZIP 28390
- Phone
- 9104970002
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.