| Latoria Group, Llc | |
|
5901 Hugh Howell Rd Stone Mountain GA 30087-2402 | |
| (470) 737-0055 | |
| Not Available |
| Full Name | Latoria Group, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5901 Hugh Howell Rd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Latoria Hairston (OWNER) |
| Authorized Official Contact | 4707370055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latoria Group, Llc 1227 Rockbridge Rd Ste 208-98 Stone Mountain GA 30087-3064 Ph: () - | Latoria Group, Llc 5901 Hugh Howell Rd Stone Mountain GA 30087-2402 Ph: (470) 737-0055 |
| NPI Number | 1235725797 |
|---|---|
| Provider Enumeration Date | 12/17/2020 |
| Last Update Date | 12/18/2020 |
| Certification Date | 12/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235725797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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