Latasheanne Cockhren
Latasheanne Cockhren is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6449 S 16th PlPhoenix, AZ 85042-4569
Phone: (619) 647-7568
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Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1821663683 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 24, 2021 |
| Last updated in NPPES | May 24, 2021 |
| Certification date | May 24, 2021 |
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