Healthcare Provider Details

I. General information

NPI: 1740084185
Provider Name (Legal Business Name): CARMEN LATRICE CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6811 COOLRIDGE RD
TEMPLE HILLS MD
20748
US

IV. Provider business mailing address

6811 COOLRIDGE RD
TEMPLE HILLS MD
20748-2705
US

V. Phone/Fax

Practice location:
  • Phone: 630-453-1004
  • Fax:
Mailing address:
  • Phone: 630-453-1004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CARMEN LATRICE MURRAY
Title or Position: MANAGER
Credential: APRN
Phone: 630-453-1004