LATESHA LANDERS - NPI 1902578065 - Counselor in Dekalb, IL

Q: What is Latesha Landers's NPI number?

The NPI number for Latesha Landers is 1902578065. It was assigned to this individual provider in the NPPES registry on September 28, 2021.

Q: What is Latesha Landers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Latesha Landers was last updated on September 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Latesha Landers NPPES

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

LATESHA LANDERS (NPI 1902578065) is an individual mental health provider in Dekalb, Illinois and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1902578065

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLATESHA LANDERS

Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637

Mailing AddressPo Box 1109Dekalb, IL 60115-7109

Phone(815) 756-4875

Sole ProprietorYes

Enumeration DateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1902578065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

12 HEALTH SERVICES DR, Dekalb, IL 60115

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Other Identifiers 1

Medicaid474579189001IL

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 20

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

JENNIFER L WEBER LSW, CADC

Social Worker (Clinical)