Latisa Naomi Davidson, is a
Counselor - Mental Health based in Ft Towson, Oklahoma. Latisa Naomi Davidson is licensed to practice in * (Not Available) (license number ) and her current practice location is
434272 State Highway 3, Ft Towson, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 775-7506.
NPI number for Latisa Naomi Davidson is 1396274270 and her current mailing address is 434272 State Highway 3, Ft Towson, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396274270.
Healthcare Provider's Profile
Full Name | Latisa Naomi Davidson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 434272 State Highway 3, Ft Towson, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396274270
- Provider Enumeration Date: 06/05/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Latisa Naomi Davidson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396274270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latisa Naomi Davidson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Latisa Naomi Davidson, 434272 State Highway 3, Ft Towson, OK 74735-7514 Ph: (580) 775-7506 | Latisa Naomi Davidson, 434272 State Highway 3, Ft Towson, OK 74735-7514 Ph: (580) 775-7506 |
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