LATOSIA RENA-DENISE LOGAN
NPI 1013652197
Counselor in Macomb, MI

Active since May 03, 2022
45964 BRENTWOOD ST, MACOMB, MI 48042(586) 948-0665 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latosia Rena-denise Logan NPPES

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

LATOSIA RENA-DENISE LOGAN (NPI 1013652197) is an individual counselor in Macomb, Michigan, licensed in Michigan (6451019460) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1013652197
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLATOSIA RENA-DENISE LOGAN
Location Address45964 BRENTWOOD STMacomb, MI 48042-5410
Mailing Address45964 Brentwood StMacomb, MI 48042-5410 · (586) 948-0665
Sole ProprietorYes
Enumeration DateMay 3, 2022
Last NPPES UpdateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
NPI 1013652197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MI · 6451019460
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

45964 BRENTWOOD ST, Macomb, MI 48042

Other Identifiers 1

Medicaid38-3242727MI

Other Providers at the Same Location NPPES 14

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

Social Worker
45964 BRENTWOOD ST
MACOMB, MI 48042
Registered Nurse
45964 BRENTWOOD ST
MACOMB, MI 48042
Registered Nurse
45964 BRENTWOOD ST
MACOMB, MI 48042
Counselor
45964 BRENTWOOD ST
MACOMB, MI 48042
Community Based Residential Treatment Facility, Mental Illness
45964 BRENTWOOD ST
MACOMB, MI 48042
Counselor (Professional)
45964 BRENTWOOD ST
MACOMB, MI 48042
Case Manager/Care Coordinator
45964 BRENTWOOD ST
MACOMB, MI 48042
Registered Nurse
45964 BRENTWOOD ST
MACOMB, MI 48042

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 Latosia Logan's NPI number?

The NPI number for Latosia Logan is 1013652197. It was assigned to this individual provider in the NPPES registry on May 3, 2022.

Where is Latosia Logan located?

Latosia Logan practices at 45964 Brentwood St, Macomb, MI 48042. The listed phone number is (586) 948-0665.

What is Latosia Logan's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Latosia Logan was last updated on February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.