MS. Lateshia Natia Provitt, ALC

NPI #1972395960 in Montgomery, Alabama

Provider Information

NPI Number: 1972395960
Entity Type: Individual
Name: MS. Lateshia Natia Provitt, ALC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: ALC
Enumeration Date: May 19, 2025
Last Updated: May 19, 2025

Practice Location

Address: 1785 TALIAFERRO TRL STE 13
City: Montgomery
State: Alabama
ZIP Code: 36117-7758
Phone: (334) 467-4983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

Additional Practice Locations

9153 Saw Tooth Loop

Pike Road, AL, 36064-2374

(334) 467-4983

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