Provider Demographics
NPI:1346012846
Name:GOGGINS II, LATHARDUS (EDD)
Entity Type:Individual
Prefix:DR
First Name:LATHARDUS
Middle Name:
Last Name:GOGGINS II
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 DORCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-1946
Mailing Address - Country:US
Mailing Address - Phone:330-990-6125
Mailing Address - Fax:
Practice Address - Street 1:599 DORCHESTER RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1946
Practice Address - Country:US
Practice Address - Phone:330-990-6125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health