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General NPI Number Information
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NPI Number | 1952200537
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Entity Type | Organization
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Legal Business Name | WELLNESS WITH LATISHA, LMHC, PLLC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1440 CENTRAL AVE STE 14
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City | ALBANY
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State | NY
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Zip | 12205-5118
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Country | US
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Telephone | 646-470-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 CENTRAL AVE STE 14
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City | ALBANY
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State | NY
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Zip | 12205-5118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | LATISHA HOLDER
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Credential | LMHC-D
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Telephone | 646-470-6345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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