MEDICARE: LATANYA YVETTE MONROE LCMHC

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	A19742	NC

General Provider Information

NPI Number	:	1104583236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATANYA YVETTE MONROE LCMHC

Provider Business Mailing Address
First Line	:	525 GRAND WAILEA DR APT 1028
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-8208
Country	:	US
Telephone Number	:	910-322-2262
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 GRAND WAILEA DR
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-8206
Country	:	US
Telephone Number	:	910-322-2262
Fax Number	:

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

Provider Enumeration Date	:	11/23/2021
Last Update Date	:	03/16/2026

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