Provider Demographics
NPI:1023445574
Name:NIANG, LATONYA LEE (EDD LCADC CCS)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:LEE
Last Name:NIANG
Suffix:
Gender:F
Credentials:EDD LCADC CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 VINE ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-7094
Mailing Address - Country:US
Mailing Address - Phone:888-751-3730
Mailing Address - Fax:502-792-9184
Practice Address - Street 1:101 N 7TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2924
Practice Address - Country:US
Practice Address - Phone:502-561-3464
Practice Address - Fax:502-561-3444
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-30
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH161742101Y00000X
KY175463101YA0400X
NC2335101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor