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General NPI Number Information
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NPI Number | 1962388868
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Entity Type | Individual
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Provider Name | MONET L LATHAM
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Gender | Female
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/17/2025
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Provider Practice Location Address
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Address Line | 2969 MARTIN LUTHER KING JR DR
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City | CLEVELAND
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State | OH
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Zip | 44104-4865
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Country | US
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Telephone | 216-312-0035
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Fax |
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Provider Business Mailing Address
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Address Line | 4456 ABBE RD # 306
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City | SHEFFIELD VILLAGE
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State | OH
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Zip | 44054-2910
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Country | US
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Telephone | 216-496-0814
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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