Provider Demographics
NPI:1578060554
Name:BARNES, LATOSHA (FULL SPECTRUM DOULA)
Entity Type:Individual
Prefix:
First Name:LATOSHA
Middle Name:
Last Name:BARNES
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 NE 44TH AVE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-1430
Mailing Address - Country:US
Mailing Address - Phone:646-406-0039
Mailing Address - Fax:
Practice Address - Street 1:300 E 176TH ST FL 1
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6041
Practice Address - Country:US
Practice Address - Phone:646-406-0039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-06
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula