Latasha Gholar

NPI #1356129480 in Columbia, Mississippi

Provider Information

NPI Number: 1356129480
Entity Type: Individual
Name: Latasha Gholar
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care - Respite Care, Physical Disabilities, Child
Enumeration Date: Sep 19, 2023
Last Updated: Sep 19, 2023

Practice Location

Address: 1401 RIDGEWOOD DR
City: Columbia
State: Mississippi
ZIP Code: 39429-2633
Phone: (601) 395-7540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Contractor	171W00000X
Home Health Aide	374U00000X
Homemaker	376J00000X
Nurse's Aide	376K00000X
Respite Care - Respite Care, Mental Illness, Child — Respite Care, Mental Illness, Child	385HR2055X
Respite Care - Respite Care, Physical Disabilities, Child — Respite Care, Physical Disabilities, Child	385HR2065X	Primary

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