DANIEL LATHAM LPC/MHSP
NPI 1104432194
Counselor - Professional in Johnson City, TN
Active since September 16, 2020
About Daniel Latham Lpc/mhsp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DANIEL LATHAM LPC/MHSP (NPI 1104432194) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (4421) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1104432194
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDANIEL LATHAMCredential: LPC/MHSP
Location Address1203 PLANTATION DRJohnson City, TN 37604-6311
Mailing Address1203 Plantation DrJohnson City, TN 37604-6311 · (276) 791-4721
Phone(276) 791-4721
Sole ProprietorYes
Enumeration DateSeptember 16, 2020
Last NPPES UpdateDecember 16, 20202 updates tracked since enumeration
NPPES CertifiedDecember 16, 2020
✔ NPI 1104432194 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 4421
1203 PLANTATION DR, Johnson City, TN 37604
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas, Inc., BlueCross BlueShield of Tennessee and more.Insurance ›
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104432194, enumerated as an "individual" on September 16, 2020.
The provider is located at 1203 PLANTATION DR JOHNSON CITY, TN 37604 and the phone number is (276) 791-4721.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.
