Provider Demographics
NPI:1013801257
Name:PORTER, LATOYIA LASHAY
Entity type:Individual
Prefix:
First Name:LATOYIA
Middle Name:LASHAY
Last Name:PORTER
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 1:118 VILLAGE ST STE D
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-5302
Mailing Address - Country:US
Mailing Address - Phone:985-474-4273
Mailing Address - Fax:
Practice Address - Street 1:118 VILLAGE ST STE D
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-5302
Practice Address - Country:US
Practice Address - Phone:985-474-4273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No374700000XNursing Service Related ProvidersTechnician
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information