Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latisha Dianne Ballard

Individual provider Mental Health Counselor · NPI 1487173001

Latisha Dianne Ballard is a Mental Health Counselor in Barstow, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

222 E Main St Ste 117
Barstow, CA 92311-2365
Phone: (760) 255-1496
Fax: (760) 255-2542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 92717 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 3171 (CA)

Record details

NPI number1487173001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 14, 2017
Last updated in NPPESJune 19, 2020
Certification dateJune 19, 2020

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