Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LATESHA GREEN
Active Sole ProprietorLATESHA GREEN is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in CHARLOTTE, North Carolina. NPI 1972239127 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · CHARLOTTE, NC
Registration Details
- NPI Number
- 1972239127
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2022 (4.0713651267536 yrs)
- Last Updated
- Jul 29, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3409 DOMINION GREEN DRCHARLOTTE, NC, 282697932Browse NC providers · Browse ZIP 28269
- Phone
- 7049064522
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
Other Intellectual Disabilities Residential Treatment Facility Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| NANA HINTON | — | 1154818284 |
| MRS. MARSHA DAYMON-ADAMS | PROVIDER | 1578106258 |
| WALTER JASON YOUNG JR. | QP | 1881230795 |
| MS. KATRINA RENEE BRYANT | MS, LCAS | 1730960741 |
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.