Healthcare Provider Details

I. General information

NPI: 1629797261
Provider Name (Legal Business Name): LATASHA NICOLE BARBER MFT, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6605 TRENT CREEK DR
SUN CITY CENTER FL
33573-0124
US

IV. Provider business mailing address

11304 FLORA SPRINGS DR
RIVERVIEW FL
33579-2409
US

V. Phone/Fax

Practice location:
  • Phone: 813-922-6804
  • Fax:
Mailing address:
  • Phone: 813-699-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2021011025
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: