Latasha Monique Dais, LCMHC, LCAS, CAMS-II | |
4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | |
(252) 549-0092 | |
Not Available |
Full Name | Latasha Monique Dais |
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Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 4030 Wake Forest Rd Ste 349, Raleigh, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1992362719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | 25322 (North Carolina) | Primary |
Entity Name | Pride In North Carolina Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
Mailing Address | Practice Location Address |
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Latasha Monique Dais, LCMHC, LCAS, CAMS-II 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 Ph: (252) 549-0092 | Latasha Monique Dais, LCMHC, LCAS, CAMS-II 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 Ph: (252) 549-0092 |
Mr. Duncan Njaramba Kihoro, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8211 Willowglen Dr, Raleigh, NC 27616 Phone: 919-266-7784 | |
Susan L Dowd, MSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4021 Bella Park Trl Apt 418, Raleigh, NC 27613 Phone: 919-798-3419 | |
Jeffrey Alan Simms, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8512 Six Forks Rd Ste 101, Raleigh, NC 27615 Phone: 919-277-0253 Fax: 833-449-5270 | |
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Mr. Gabriel Rosenboro, BS CRIMINAL JUSTICE Counselor Medicare: Not Enrolled in Medicare Practice Location: 4400 Old Poole Rd, Raleigh, NC 27610 Phone: 919-268-9660 | |
Victoria Baxter, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 39 Red Ln, Raleigh, NC 27606 Phone: 706-836-1713 |