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NPI Code Detail

MEDICARE: MONET L LATHAM

MEDICARE:   MONET L LATHAM
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
1101Y00000XCounselor
2101YM0800XMental Health Counselor
3171M00000XCase Manager/Care Coordinator
4261QM0855XAdolescent and Children Mental Health Clinic/Center
5385H00000XRespite Care

General Provider Information

NPI Number : 1962388868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONET L LATHAM
Provider Business Mailing Address
First Line : 4456 ABBE RD # 306
Second Line :
City : SHEFFIELD VILLAGE
State : OH
Zip : 44054-2910
Country : US
Telephone Number : 216-496-0814
Fax Number :
Provider Business Practice Location Address
First Line : 2969 MARTIN LUTHER KING JR DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-4865
Country : US
Telephone Number : 216-312-0035
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2025
Last Update Date : 08/17/2025

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Directions to “ MONET L LATHAM ” Practice Location

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