Latoya Patrice Fleming
Individual provider Active NPI Mental Health Counselor · Vidalia, LA
NPI 1508359498 · NPPES record last updated Jun 14, 2018
Key facts
- NPI
- 1508359498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1644 Carter St
Vidalia, LA 71373-3143 - Phone
- (318) 414-3065
- NPI assigned
- Jun 14, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | Yes |
Addresses
Primary practice location
1644 Carter St
Vidalia, LA 71373-3143
Mailing address
1644 Carter St
Vidalia, LA 71373-3143
Other providers in Vidalia, LA
- John H Fairbanks
- Steven Lee Falkenheiner
- Stacy Elizabeth Farmer
- Trevor Farmer
- Jasmine Fells
- Zacki Fletcher
- Rebecca Arthur Foster
- Myrna Shannekia Franklin
- April Frost
- Breanna Ciera Frye
All providers in Vidalia, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2018. 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.