Provider Demographics
NPI:1669176533
Name:LATNEY, DEVON
Entity type:Individual
Prefix:MS
First Name:DEVON
Middle Name:
Last Name:LATNEY
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 1:345 WINDING OAKS LN SE
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-0054
Mailing Address - Country:US
Mailing Address - Phone:860-268-1906
Mailing Address - Fax:
Practice Address - Street 1:78 BUFFALO AVE NW STE 200-C
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-4769
Practice Address - Country:US
Practice Address - Phone:704-918-5494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health