Provider Demographics
NPI:1972691335
Name:HOPSON, LATANYA MICHELLE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LATANYA
Middle Name:MICHELLE
Last Name:HOPSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5144 CLEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39301-8896
Mailing Address - Country:US
Mailing Address - Phone:601-484-7419
Mailing Address - Fax:
Practice Address - Street 1:2205 HWY 39 N
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39301-2636
Practice Address - Country:US
Practice Address - Phone:601-483-0606
Practice Address - Fax:601-483-5944
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical