Provider Demographics
NPI:1639750581
Name:MAJORS, LATRINA
Entity Type:Individual
Prefix:
First Name:LATRINA
Middle Name:
Last Name:MAJORS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7205 S COOPER ST STE 131
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76001-6750
Mailing Address - Country:US
Mailing Address - Phone:817-617-2638
Mailing Address - Fax:817-840-6416
Practice Address - Street 1:7205 S COOPER ST STE 131
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6750
Practice Address - Country:US
Practice Address - Phone:817-617-2638
Practice Address - Fax:817-840-6416
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81989101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional