Active NPI
Lateshia Natia Provitt, ALC
- Counselor
- Montgomery, AL
National Provider Identifier
1972395960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- ALC05234
- Practice address
- 1785 Taliaferro TRL Ste 13
Montgomery, AL 36117-7758 - Phone
- (334) 467-4983
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | ALC05234 | AL | Primary |
Addresses
Primary practice location
1785 Taliaferro TRL Ste 13
Montgomery, AL 36117-7758
Mailing address
9153 Saw Tooth Loop
Pike Road, AL 36064-2374
Phone (334) 467-4983
Other practice location 1
9153 Saw Tooth Loop
Pike Road, AL 36064-2374
Phone (334) 467-4983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC05234 | AL | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1972395960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9153 SAW TOOTH LOOP",
"city": "PIKE ROAD",
"state": "AL",
"postal_code": "360642374",
"telephone_number": "334-467-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 TALIAFERRO TRL STE 13",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361177758",
"telephone_number": "334-467-4983"
}
],
"practiceLocations": [
{
"address_1": "9153 Saw Tooth Loop",
"address_purpose": "LOCATION",
"city": "Pike Road",
"state": "AL",
"postal_code": "360642374",
"country_code": "US",
"telephone_number": "334-467-4983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROVITT",
"first_name": "LATESHIA",
"middle_name": "NATIA",
"name_prefix": "Ms.",
"credential": "ALC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AL",
"license": "ALC05234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
- Professional Pediatrics PA
- Progressivehealth, LLC
- Proimpact Physical Therapy & Sports Performance
- Project Wiggles & Giggles
- Matthew Provence Provence, DPT,PT
- Ginna Kathleen Prutzman, PA-C
- PT Solutions Management LLC
- PT Solutions Management, LLC
- PT Solutions Management, LLC
- PT Solutions of Montgomery, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.