Provider Demographics
NPI:1477811636
Name:LATECHIA HOGUE
Entity Type:Organization
Organization Name:LATECHIA HOGUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MSW/ SERVICE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATECHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-781-7000
Mailing Address - Street 1:3459 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30032-3035
Mailing Address - Country:US
Mailing Address - Phone:404-761-7000
Mailing Address - Fax:
Practice Address - Street 1:445 DIXIE LEE LN
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-4203
Practice Address - Country:US
Practice Address - Phone:404-781-7000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management