Healthcare Provider Details

I. General information

NPI: 1912397241
Provider Name (Legal Business Name): LATOYA SMALLS PHD., LPC, BSL, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2015
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 MEMORIAL PARKWAY FAMILY GUIDANCE CENTER OF WARREN COUNTY
PHILLIPSBURG NJ
08865-1580
US

IV. Provider business mailing address

2184 WHITE OAK DR
EAST STROUDSBURG PA
18301-8375
US

V. Phone/Fax

Practice location:
  • Phone: 908-454-4470
  • Fax: 908-454-5317
Mailing address:
  • Phone: 917-753-9597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01117200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBH001067
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017419
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: