Provider Demographics
NPI:1366284598
Name:SINGLETON, STARLA LATARHA (MSW)
Entity type:Individual
Prefix:
First Name:STARLA
Middle Name:LATARHA
Last Name:SINGLETON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:STARLA
Other - Middle Name:LATARHA
Other - Last Name:SINGLETON HANNIBAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 CAPRI DR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-6207
Mailing Address - Country:US
Mailing Address - Phone:803-565-3447
Mailing Address - Fax:
Practice Address - Street 1:801 N PIKE W
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29153-1906
Practice Address - Country:US
Practice Address - Phone:803-775-9364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool