Provider Demographics
NPI:1376208009
Name:LARKIN, MARKERRA J'TORIA (LAPC)
Entity Type:Individual
Prefix:
First Name:MARKERRA
Middle Name:J'TORIA
Last Name:LARKIN
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 GRAVES RD APT 1823
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-5915
Mailing Address - Country:US
Mailing Address - Phone:229-325-4825
Mailing Address - Fax:
Practice Address - Street 1:1695 GRAVES RD APT 1823
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-5915
Practice Address - Country:US
Practice Address - Phone:229-325-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC007785101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health