Healthcare Provider Details

I. General information

NPI: 1093936114
Provider Name (Legal Business Name): LATASHA RENEE COX BS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LATASHA MURRY PETERS BS

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 DARBY CREEK RD
LEXINGTON KY
40509-1603
US

IV. Provider business mailing address

503 DARBY CREEK RD
LEXINGTON KY
40509-1603
US

V. Phone/Fax

Practice location:
  • Phone: 859-264-8796
  • Fax:
Mailing address:
  • Phone: 859-314-1716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: