Latasha Gholar, is a
Respite Care - Respite Care, Physical Disabilities, Child based in Columbia, Mississippi. Latasha Gholar is licensed to practice in * (Not Available) (license number ) and her current practice location is
1401 Ridgewood Dr, Columbia, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 395-7540.
NPI number for Latasha Gholar is 1356129480 and her current mailing address is 1401 Ridgewood Dr, Columbia, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1356129480.
Healthcare Provider's Profile
| Full Name | Latasha Gholar |
|---|
| Gender | Female |
|---|
| Speciality | Respite Care - Respite Care, Physical Disabilities, Child |
|---|
| Location | 1401 Ridgewood Dr, Columbia, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356129480
- Provider Enumeration Date: 09/19/2023
- Last Update Date: 09/19/2023
Medical Identifiers
Medical identifiers for Latasha Gholar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356129480 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 171W00000X | Contractor | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (Mississippi) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 376K00000X | Nurse's Aide | (* (Not Available)) | Secondary |
| 385HR2055X | Respite Care - Respite Care, Mental Illness, Child | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 385HR2065X | Respite Care - Respite Care, Physical Disabilities, Child | (* (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. Latasha Gholar 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 |
|---|
Latasha Gholar,
1401 Ridgewood Dr,
Columbia, MS 39429-2633
Ph: (601) 395-7540 | Latasha Gholar,
1401 Ridgewood Dr,
Columbia, MS 39429-2633
Ph: (601) 395-7540 |
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