Latoy Mack

NPI 1962741140 · on the registry since 2013 · sole proprietor

Practice

Address: 2510 1st Ave S
St Petersburg, FL 33712
Phone: (727) 289-1164
Organisation at this address: Tequillas Respite Care
Barnes Holistic Counseling Therapy Institute
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 101YM0800X
101YM0800X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-02-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida