Individual provider · Type 1 NPI
Latonya Polk
Psychiatric/Mental Health Clinical Nurse Specialist · Longview, TX
NPI number
1861551814
Active
Practice location
1328 Heritage Blvd
Longview, TX 75605-1472
Fax (866) 877-1258
Other practice locations
- 205 E US Highway 80, White Oak, TX 75693-2103 · (903) 297-4959
- 807 S Mobberly Ave, Longview, TX 75602-2037 · (903) 553-0143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | 1232380 (TX) |
| Assisted Living Facility | 310400000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
Another provider at this address
Other psychiatric/mental health clinical nurse specialist providers in Longview
About NPI 1861551814
Latonya Polk's National Provider Identifier is 1861551814, issued on Dec 6, 2006. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Longview, TX. The record was last updated on Jun 30, 2026.