Latisha Wadley

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

PLM1580 Issued in LA

Practice address

3510 Linwood Ave
Shreveport, LA 71103-4512

Phone

(318) 218-7193

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Circles, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1144307034
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1891168092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034512",
            "telephone_number": "318-218-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 LINWOOD AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034512",
            "telephone_number": "318-218-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADLEY",
        "first_name": "LATISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "PLM1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D Waddell, MD
• Raina Waddell
• Jennifer Haley Waddle, WHCNP
• Deborah J Wade, R.PH.
• Jacob Daniel Wade
• James Michael Wages Jr., M.D.
• Gabrielle Renee Waggoner
• Sharon Waggoner, MSW
• Catherine C Wagner, CRNA
• Diane Brown Wagner, MD

• Marriage & Family Therapist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Marriage & Family Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.