Individual provider · Type 1 NPI

Lateshia Natia Provitt, ALC

Counselor · Montgomery, AL

NPI number 1972395960 Active

Practice location

1785 Taliaferro Trl Ste 13
Montgomery, AL 36117-7758

Mailing address

9153 Saw Tooth Loop
Pike Road, AL 36064-2374

Other practice locations

  • 9153 Saw Tooth Loop, Pike Road, AL 36064-2374 · (334) 467-4983

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XALC05234 (AL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1972395960

Lateshia Natia Provitt, ALC's National Provider Identifier is 1972395960, issued on May 19, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Montgomery, AL. The record was last updated on May 19, 2025.