Provider Demographics
NPI:1447589510
Name:DANIELS, LATOSHIA S (LCSW)
Entity Type:Individual
Prefix:
First Name:LATOSHIA
Middle Name:S
Last Name:DANIELS
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 1:415 N MCKINLEY ST STE 444
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3048
Mailing Address - Country:US
Mailing Address - Phone:501-398-9381
Mailing Address - Fax:855-312-6366
Practice Address - Street 1:415 N MCKINLEY ST
Practice Address - Street 2:SUITE 190-B
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3013
Practice Address - Country:US
Practice Address - Phone:501-398-9381
Practice Address - Fax:855-312-6366
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR4503-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical