# LATANYA IDELLA WISE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1992662464
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | OH | — |
| 101YM0800X | Mental Health Counselor | — | OH | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | OH | — |
| 251S00000X | Community/Behavioral Health Agency | — | OH | — |
| 253Z00000X | In Home Supportive Care Agency | — | OH | — |
| 3747P1801X | Personal Care Attendant | — | OH | — |
| 376J00000X | Homemaker | — | — | Yes |
| 385H00000X | Respite Care | — | OH | — |

## Other

- **Enumeration date:** 01/07/2026
- **Last updated:** 06/09/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0178373 | — | OH |