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LATEASHA NICOLE SAC
NPI 1013617265
Counselor - Addiction (Substance Use Disorder) in Mount Pleasant, WI

Active since March 07, 2023
5735 DURAND AVE, MOUNT PLEASANT, WI 53406(262) 598-1392 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lateasha Nicole Sac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LATEASHA NICOLE SAC (NPI 1013617265) is an individual addiction (substance use disorder) provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (16574) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1013617265
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLATEASHA NICOLECredential: SAC
Location Address5735 DURAND AVEMount Pleasant, WI 53406-5011
Mailing Address5735 Durand AveMount Pleasant, WI 53406-5011 · (262) 598-1392
Phone(262) 598-1392
Sole ProprietorNo
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 7, 2023
✔ NPI 1013617265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WI · 16574
5735 DURAND AVE, Mount Pleasant, WI 53406
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN M KLEBA RN
Registered Nurse
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 549-6600
DANIELLE L JAMES
Licensed Practical Nurse
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392
ASHLEY DRAB
Registered Nurse
5735 DURAND AVE, SUITE A
RACINE, WI 53406
Racine County (262) 598-1392
NICOLE BERGEVAIN
Registered Nurse
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392
MR. ANDREWS KING NO. 16927 - 130
Counselor (Addiction (Substance Use Disorder))
5735 DURAND AVE, SUITE A
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392
HEATHERLY D AWAD LPN
Licensed Practical Nurse
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392
SHAMEKIA HARRELL SAC-IT
Counselor (Addiction (Substance Use Disorder))
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392
MICHELLE BROWN
Registered Nurse
5735 DURAND AVE
MOUNT PLEASANT, WI 53406
Racine County (262) 598-1392

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lateasha Nicole's NPI number?

The NPI number for Lateasha Nicole is 1013617265. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Lateasha Nicole located?

Lateasha Nicole practices at 5735 Durand Ave, Mount Pleasant, WI 53406. The listed phone number is (262) 598-1392.

What is Lateasha Nicole's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lateasha Nicole was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.