Individual provider · Type 1 NPI

Lataya Foreman

Mental Health Counselor · Southgate, MI

NPI number 1295608016 Active

Practice location

16645 Barberry St Apt B4
Southgate, MI 48195-1557

Call (734) 360-4840 Map

Mailing address

11110 Wilshire Dr
Detroit, MI 48213-1690

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295608016

Lataya Foreman's National Provider Identifier is 1295608016, issued on Sep 26, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Sep 26, 2025.