Provider Demographics
NPI:1417631987
Name:ROWLAND, LATIERRA (LCSW)
Entity Type:Individual
Prefix:
First Name:LATIERRA
Middle Name:
Last Name:ROWLAND
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6612 HANWORTH TRCE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-2114
Mailing Address - Country:US
Mailing Address - Phone:919-741-2589
Mailing Address - Fax:
Practice Address - Street 1:6612 HANWORTH TRCE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-2114
Practice Address - Country:US
Practice Address - Phone:919-741-2589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN79241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical