Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATESHA EDMON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · LAVEEN, AZ
Registration Details
- NPI Number
- 1770398638
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 10, 2025 (1.1944446224109 yrs)
- Last Updated
- Feb 10, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
6519 W BRANHAM LNLAVEEN, AZ, 853392723Browse AZ providers · Browse ZIP 85339
- Phone
- 8155148647
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in LAVEEN, AZ
| Name | Credential | NPI |
|---|---|---|
| LANCE CORY DEVERO | — | 1811667173 |
| SH'REE JUDE | — | 1851127609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.