Provider Demographics
NPI:1659170512
Name:KNIGHT, LATESHA MICHELLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:LATESHA
Middle Name:MICHELLE
Last Name:KNIGHT
Suffix:
Gender:
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:WARREN BEHAVIORAL CARE
Mailing Address - Street 2:153 SCOUTING CIRCLE
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081
Mailing Address - Country:US
Mailing Address - Phone:334-808-8991
Mailing Address - Fax:
Practice Address - Street 1:WARREN BEHAVIORAL CARE
Practice Address - Street 2:153 SCOUTING CIRCLE
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081
Practice Address - Country:US
Practice Address - Phone:334-808-8991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC04885101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health