MEDICARE: MS. ANNETTE MICHELLE LATIGUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588518195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNETTE MICHELLE LATIGUE

Provider Business Mailing Address
First Line	:	15702 TAWNY STARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-2385
Country	:	US
Telephone Number	:	832-986-3224
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 FM 1960 RD W STE 754
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-3000
Country	:	US
Telephone Number	:	832-621-3759
Fax Number	:	832-324-6936

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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Directions to “ MS. ANNETTE MICHELLE LATIGUE ” Practice Location

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