Latrice T Oglesby

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

180.007113 Issued in IL

Legal business name

LATRICE T OGLESBY

Practice address

17019 Harlem Ave
Tinley Park, IL 60477-2739

Phone

(708) 268-1749

NPI assigned

Mar 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Latrice Tonias Oglesby, LCPC

Title

Counselor

Phone

(708) 268-1749

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1528209525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 216TH PL",
            "city": "SAUK VILLAGE",
            "state": "IL",
            "postal_code": "604114480",
            "telephone_number": "708-268-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17019 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772739",
            "telephone_number": "708-268-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATRICE T OGLESBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "OGLESBY",
        "authorized_official_first_name": "LATRICE",
        "authorized_official_middle_name": "TONIAS",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "708-268-1749",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IL",
            "license": "180.007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gladys Larsen, FNP
• Caroline Larson, RBT
• Stephanie Larson, APRN
• Shadi Latta, MD
• Nicole Launius, OTR/L
• Laurent Family Enterprises, Inc.
• Kimberly Laurin
• Richard Lawley, M.D.

• Community/Behavioral Health Agency in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.