Healthcare Provider Details

I. General information

NPI: 1881531945
Provider Name (Legal Business Name): LATORIA NIJA BARBER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2430 LAWRENCE AVE
TOLEDO OH
43620-1047
US

IV. Provider business mailing address

2430 LAWRENCE AVE
TOLEDO OH
43620-1047
US

V. Phone/Fax

Practice location:
  • Phone: 419-409-5661
  • Fax:
Mailing address:
  • Phone: 419-409-5661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTM126363
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: