Individual provider · Type 1 NPI

Latanya Cork, LMSW

Mental Health Counselor · Jackson, MS

NPI number 1417501693 Active

Practice location

3450 Highway 80 W
Jackson, MS 39209-7201

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XM11277

Mental Health Counselor: Definition to come...

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About NPI 1417501693

Latanya Cork, LMSW's National Provider Identifier is 1417501693, issued on Jul 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jackson, MS. The record was last updated on Apr 17, 2026.