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MR. NATHAN LATTA CPRC
NPI 1033776745
Peer Specialist in Detroit, MI

Active since May 29, 2019
2081 W GRAND BLVD, DETROIT, MI 48208(313) 895-0500 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2023, May 29, 2019 (2 updates tracked since 2019).

About Mr. Nathan Latta Cprc NPPES

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

MR. NATHAN LATTA CPRC (NPI 1033776745) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1033776745
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. NATHAN LATTACredential: CPRC
Location Address2081 W GRAND BLVDDetroit, MI 48208-1105
Mailing Address707 W Milwaukee StDetroit, MI 48202-2943 · (313) 344-9099
Phone(313) 895-0500
Sole ProprietorYes
Enumeration DateMay 29, 2019
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1033776745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License M-00262 (MI)
2081 W GRAND BLVD, Detroit, MI 48208
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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.

MR. DARRIN GORDON CPRC
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MS. TAMARA THOMPSON
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. STANLEY BERNARD SLOAN FOADP
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
JUMEL BUTTS
Social Worker (Clinical)
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MS. CHARMANE ANTOINETTE BUSSIE LLMSW
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. LIONEL ROSS BASS FAODP
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MR. DARRELL BARNES-BEY CPRM-M
Peer Specialist
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500
MRS. ROTONJA L HALL BS
Counselor (Addiction (Substance Use Disorder))
2081 W GRAND BLVD
DETROIT, MI 48208
Wayne County (313) 895-0500

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 Nathan Latta's NPI number?

The NPI number for Nathan Latta is 1033776745. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Where is Nathan Latta located?

Nathan Latta practices at 2081 W Grand Blvd, Detroit, MI 48208. The listed phone number is (313) 895-0500.

What is Nathan Latta's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Nathan Latta was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.