Provider Demographics
NPI:1003100496
Name:POMPEY, LATONYA LATRICE (MSW, P-LCSW)
Entity Type:Individual
Prefix:MS
First Name:LATONYA
Middle Name:LATRICE
Last Name:POMPEY
Suffix:
Gender:F
Credentials:MSW, P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5633 MONROE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-5591
Mailing Address - Country:US
Mailing Address - Phone:843-356-0719
Mailing Address - Fax:
Practice Address - Street 1:5633 MONROE RD
Practice Address - Street 2:SUITE D
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-5591
Practice Address - Country:US
Practice Address - Phone:843-356-0719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-03
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0060571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical