person
Latasheanne Cockhren
Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona
NPI 1821663683

Latasheanne Cockhren is a Mental Illness Community Based Residential Treatment Facility based in Chandler, AZ. Latasheanne Cockhren practices in Phoenix, AZ. The NPI Number for Latasheanne Cockhren is 1821663683 and holds a License No. (Arizona).

The current practice location address for Latasheanne Cockhren is 6449 S 16Th Pl, Phoenix, AZ and can be reached out via phone at 619-647-7568.

Location: 6449 S 16Th Pl, Phoenix, AZ, 85286-1849
person
Provider Profile Details
NPI Number
1821663683
Provider Name
Latasheanne Cockhren
Credential
Provider Entity Type
Individual
Gender
Female
Address
6449 S 16Th Pl, Phoenix, AZ, 85286-1849
Phone Number
619-647-7568
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6449 S 16Th Pl
City
State
Zip
85042-4569
Phone Number
619-647-7568
Fax Number
person
Provider Business Mailing Address Details
Address
6449 S 16Th Pl
City
State
Zip
85042-4569
Phone Number
619-647-7568
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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