Latasha Gholar, in Columbia, MS - Respite Care

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.

Contact Information

	Latasha Gholar,
	1401 Ridgewood Dr, Columbia, MS 39429-2633
	(601) 395-7540
	Not Available

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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Latasha Gholar, - in Columbia, MS