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LATISHA LOUISE FONTANA M.ED. L.P.C.
NPI 1902901770
Counselor - Mental Health in Grover, MO

Active since September 14, 2006
2646 HIGHWAY 109, SUITE 200, GROVER, MO 63040(636) 458-0002(636) 458-0002 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Latisha Louise Fontana M.ed. L.p.c. NPPES

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

LATISHA LOUISE FONTANA M.ED. L.P.C. (NPI 1902901770) is an individual mental health provider in Grover, Missouri, licensed in Missouri (CS001907) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902901770
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLATISHA LOUISE FONTANACredential: M.ED. L.P.C.
Location Address2646 HIGHWAY 109, SUITE 200Grover, MO 63040-1162
Mailing Address2646 Highway 109, Suite 200Grover, MO 63040-1162 · (636) 458-0002 · Fax (636) 458-0002
Phone(636) 458-0002
Fax(636) 458-0002
Sole ProprietorYes
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902901770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MO · CS001907
2646 HIGHWAY 109, Grover, MO 63040
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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 Latisha Fontana's NPI number?

The NPI number for Latisha Fontana is 1902901770. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Latisha Fontana located?

Latisha Fontana practices at 2646 Highway 109 Suite 200, Grover, MO 63040. The listed phone number is (636) 458-0002.

What is Latisha Fontana's specialty?

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

When was this NPI record last updated?

The NPPES record for Latisha Fontana was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.