Provider Demographics
NPI:1467700674
Name:PLAIR, LATOYA
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:PLAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 W LAKE MEAD BLVD
Mailing Address - Street 2:1064
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89108-6213
Mailing Address - Country:US
Mailing Address - Phone:702-752-0128
Mailing Address - Fax:
Practice Address - Street 1:5800 W LAKE MEAD BLVD
Practice Address - Street 2:1064
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108-6213
Practice Address - Country:US
Practice Address - Phone:702-752-0128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-17
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor