person
Latasha Peavy, IDDWAIVERSERVICES
Day Training/Habilitation Specialist in Columbia, Mississippi
NPI 1184340135

Latasha Peavy is a Day Training/Habilitation Specialist based in Hattiesburg, MS. Latasha Peavy practices in Columbia, MS and has the professional credentials of IDDWAIVERSERVICES. The NPI Number for Latasha Peavy is 1184340135 and holds a License No. (Mississippi).

The current practice location address for Latasha Peavy is 1104 Broad St, Columbia, MS and can be reached out via phone at 601-736-0996.

Location: 1104 Broad St, Columbia, MS, 39404-8679
person
Provider Profile Details
NPI Number
1184340135
Provider Name
Latasha Peavy
Credential
IDDWAIVERSERVICES
Provider Entity Type
Individual
Gender
Female
Address
1104 Broad St, Columbia, MS, 39404-8679
Phone Number
601-736-0996
Fax Number
Provider Enumeration Date
10/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1104 Broad St
City
State
Zip
39429-3112
Phone Number
601-736-0996
Fax Number
person
Provider Business Mailing Address Details
Address
1104 Broad St
City
State
Zip
39429-3112
Phone Number
601-736-0996
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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