Provider Demographics
NPI:1891174371
Name:WILLIAMS, LATRAVIA HARBIN (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:LATRAVIA
Middle Name:HARBIN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18425 NW 2ND AVE
Mailing Address - Street 2:SUITE 402
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4534
Mailing Address - Country:US
Mailing Address - Phone:786-916-3706
Mailing Address - Fax:786-916-3708
Practice Address - Street 1:18425 NW 2ND AVE
Practice Address - Street 2:SUITE 402
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4534
Practice Address - Country:US
Practice Address - Phone:786-916-3706
Practice Address - Fax:786-916-3708
Is Sole Proprietor?:No
Enumeration Date:2015-05-29
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2407106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist