Latanya Cork, LMSW
Individual provider Active NPI Mental Health Counselor · Jackson, MS
NPI 1417501693 · NPPES record last updated Apr 17, 2026
Key facts
- NPI
- 1417501693
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- M11277
- Practice address
- 3450 Highway 80 W
Jackson, MS 39209-7201 - Phone
- (601) 321-2400
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | M11277 | Yes |
Addresses
Primary practice location
3450 Highway 80 W
Jackson, MS 39209-7201
Mailing address
3450 Highway 80 W
Jackson, MS 39209-7201
Phone (601) 738-5260
Other providers in Jackson, MS
- Shandranekia Copeland
- Jesse Olson Coppenbarger
- Collin Corales
- Brynn Corbello
- Dawson Clay Cork
- John Jarrett Corley
- Mary Kinney Lowe Corley
- Z'Carra Jermyce Corner
- Cornerstone Caregiving East LLC
- Cornerstone Palliative and Hospice, LLC
All providers in Jackson, MS · Mental Health Counselor in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.