Provider Demographics
NPI:1710597943
Name:SEVIER, LATOYA (LPC)
Entity Type:Individual
Prefix:
First Name:LATOYA
Middle Name:
Last Name:SEVIER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 192ND ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-3717
Mailing Address - Country:US
Mailing Address - Phone:773-939-6432
Mailing Address - Fax:
Practice Address - Street 1:2855 192ND ST
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-3717
Practice Address - Country:US
Practice Address - Phone:773-939-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014675101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional