Lateasha Nicole, SAC - Counselor in Mount Pleasant, WI

Lateasha Nicole, SAC is a Counselor - Addiction (substance Use Disorder) based in Mount Pleasant, Wisconsin. Lateasha Nicole is licensed to practice in Wisconsin (license number 16574) and her current practice location is 5735 Durand Ave, Mount Pleasant, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 598-1392.

NPI number for Lateasha Nicole is 1013617265 and her current mailing address is 5735 Durand Ave, Mount Pleasant, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013617265.

Contact Information

Lateasha Nicole, SAC
5735 Durand Ave,
Mount Pleasant, WI 53406-5011
(262) 598-1392
Not Available

Healthcare Provider's Profile

Full NameLateasha Nicole
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5735 Durand Ave, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013617265
  • Provider Enumeration Date: 03/07/2023
  • Last Update Date: 03/07/2023

Medical Identifiers

Medical identifiers for Lateasha Nicole such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013617265NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 16574 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lateasha Nicole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lateasha Nicole, SAC
5735 Durand Ave,
Mount Pleasant, WI 53406-5011

Ph: (262) 598-1392
Lateasha Nicole, SAC
5735 Durand Ave,
Mount Pleasant, WI 53406-5011

Ph: (262) 598-1392

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› Verified 3 days ago


Counselor in Mount Pleasant, WI

Sophia Elizabeth Prater, ATR, LPC, CSAC
Counselor
Medicare: Medicare Enrolled
Practice Location: 3805b Spring St Ste 340, Mount Pleasant, WI 53405
Phone: 262-687-2222    
Ms. Julia D Wells, MS LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave Ste 100, Mount Pleasant, WI 53406
Phone: 262-633-3591    Fax: 262-633-2619
Michelle Valentina May, LPCIT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6233 Durand Ave Ste 103, Mount Pleasant, WI 53406
Phone: 262-456-4056    Fax: 262-456-4911
Sophia Grace Torosian, LPC-IT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave Ste 300, Mount Pleasant, WI 53406
Phone: 262-633-3501    
Mr. Ricky A Person Sr., CSAC. ICS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4810 Northwestern Ave, Mount Pleasant, WI 53406
Phone: 262-583-2714    
Derek Alcala,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 8800 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-633-3591    Fax: 262-633-2619

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