Provider Demographics
NPI:1700289428
Name:LATONYA LEE NIANG & ASSOCIATES
Entity Type:Organization
Organization Name:LATONYA LEE NIANG & ASSOCIATES
Other - Org Name:COMP SERV HEALTH RESOURCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:NIANG
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:888-959-0224
Mailing Address - Street 1:600 16TH AVE N STE 3
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-3536
Mailing Address - Country:US
Mailing Address - Phone:866-338-1851
Mailing Address - Fax:
Practice Address - Street 1:3972 BUSINESS 17 E STE E
Practice Address - Street 2:
Practice Address - City:BOLIVIA
Practice Address - State:NC
Practice Address - Zip Code:28422-9029
Practice Address - Country:US
Practice Address - Phone:866-338-1851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-08
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health