LATISE EGESTON


Address: 4290 Memorial Dr, Decatur, GA 30032-1225
Phone: 4042940774

LATISE EGESTON (NPI# 1265505929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265505929
Entity Type Individual
Full Name LATISE EGESTON
Credential LPC
Practice Address 4290 Memorial Dr
Decatur
GA 30032-1225
Mailing Address 3578 S Fulton Ave
Hapeville
GA 30354-1756
Practice Telephone 4042940774
Practice Fax Number 4042940775
Mailing Telephone 4046693462
Mailing Fax Number 4046693957
Enumeration Date 2006-11-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
003589 GA Behavioral Health & Social Service Providers

Office Location

Street Address 4290 MEMORIAL DR
City DECATUR
State GA
Zip Code 30032-1225

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598363392 Kimberly Swanson Counselor 311 West Hill Street, Decatur, GA 30030-4319 2020-10-14
1083228050 Lasonja D Carter Counselor 2920 Frost Dr Sw, Decatur, AL 35603-4531 2020-09-07
1154935468 Nick Hersey Counselor 1924 Clairmont Rd Ste 50, Decatur, GA 30033-3450 2020-09-03
1760095814 Potters Touch Counseling Inc. Counselor 4150 Snapfinger Woods Dr Ste 100, Decatur, GA 30035-3417 2020-08-28
1407464563 Starre Cannon Counselor 3183 Tarian Way, Decatur, GA 30034-5539 2020-07-15
1164040713 Bethany Cecelia Merrett Counselor 223 Kathryn Ave, Decatur, GA 30030-5017 2020-07-09
1053939090 Virtue Speaks LLC Counselor 4150 Snapfinger Woods Dr Ste 104d, Decatur, GA 30035-3417 2020-07-07
1821619842 Knitikia Gross Counselor 436 Eastwyck Cir, Decatur, GA 30032-6694 2020-04-30
1063033074 Marcy Renee Jefferson-watkins Counselor 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 2020-04-30
1790304004 Tonia D Morris Counselor 3006 Western Sunset Ct, Decatur, GA 30034-1692 2020-04-16
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Competitor

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City DECATUR
Zip Code 30032

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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