MR. MIKE LATELLA CADC-II
NPI 1629624382
Counselor - Addiction (Substance Use Disorder) in Peachtree City, GA

Q: What is Mike Latella's NPI number?

The NPI number for Mike Latella is 1629624382. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Q: What is Mike Latella's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mike Latella was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2019

111 PETROL PT STE A-3, PEACHTREE CITY, GA 30269(678) 568-9049 Get Directions Write a Review

NPPES record last updated: August 16, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Mike Latella Cadc-ii NPPES

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

MR. MIKE LATELLA CADC-II (NPI 1629624382) is an individual addiction (substance use disorder) provider in Peachtree City, Georgia, licensed in Georgia (1241) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1629624382

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. MIKE LATELLACredential: CADC-II

Location Address111 PETROL PT STE A-3Peachtree City, GA 30269-1550

Mailing Address111 Petrol Pt Ste A-3Peachtree City, GA 30269-1550 · (678) 568-9049

Phone(678) 568-9049

Sole ProprietorYes

Enumeration DateAugust 16, 2019

✔ NPI 1629624382 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 GA · 1241

111 PETROL PT STE A-3, Peachtree City, GA 30269

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Other Identifiers 4

OtherEO56GA · Certified Tele-medical Electronic Drug And Alcohol Counselor

Other1241GA · Ga Certified Alcohol And Drug Counselor Level Ii Number

Other3918GA · Ga Certified Drug And Alcohol Evaluator Number

Other809429GA · Internationally Certified Alcohol And Drug Counselor

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JULIE O'SHAUGHNESSY D.C.

Chiropractor

111 PETROL PT STE A-3
PEACHTREE CITY, GA 30269

Fayette County (678) 519-0632

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 Mike Latella's NPI number?

The NPI number for Mike Latella is 1629624382. It was assigned to this individual provider in the NPPES registry on August 16, 2019.

Where is Mike Latella located?

Mike Latella practices at 111 Petrol Pt Ste A-3, Peachtree City, GA 30269. The listed phone number is (678) 568-9049.

What is Mike Latella'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 Mike Latella was last updated on August 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.