Innovative Health Practice Center, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INNOVATIVE HEALTH PRACTICE CENTER, LLC

Practice address

94 McFarland Blvd, Suite B
Northport, AL 35476-3348

Phone

(659) 239-0148

Fax

(205) 606-8311

NPI assigned

Oct 13, 2021

Last updated

Mar 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latonia Mitchell, PMHNPNPI 1093349136

Title

Owner

Phone

(659) 239-0148

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latonia Mitchell

  • Psychiatric/Mental Health Nurse Practitioner
  • Northport, AL
  • NPI 1093349136
  Authorized official Same address or phone

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1952063380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 MCFARLAND BLVD, SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354760108",
            "telephone_number": "659-239-0148",
            "fax_number": "206-606-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MCFARLAND BLVD, SUITE B",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354763348",
            "telephone_number": "659-239-0148",
            "fax_number": "205-606-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH PRACTICE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "659-239-0148",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Northport, AL
• Providers in Northport, AL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.