Laties, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

031011711 Issued in GA

Legal business name

LATIES, INC.

Practice address

9618 Brown Rd
Jonesboro, GA 30238-5966

Phone

(770) 472-1187

Fax

(770) 472-1187

NPI assigned

Apr 11, 2011

Organization subpart

No

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

Authorized official

Name

Myrties M. Miller

Title

Ceo

Phone

(770) 472-1187

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1801186945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 BROWN RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385966",
            "telephone_number": "770-472-1187",
            "fax_number": "770-472-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 BROWN RD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385966",
            "telephone_number": "770-472-1187",
            "fax_number": "770-472-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MYRTIES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-472-1187"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "031011711",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "031011711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wilermina Lacroix
• Lake Spivey Ambulatory Surgery Care, LLC (Spivey Station Surgery Center)
• Matthieu Laliberte, MD
• Blair John Lamey, OD
• Julia Olivia Land, PSYD, CRC
• Taylor Lawrence
• Shareka Nicole Lawson-Garnes, DC
• David W Lazan, M.D.
• Joon Nam Lee, M.D.
• Terri L Lee, LPC

• Mental Illness Community Based Residential Treatment Facility in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.