Organization
ALATIYA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA ROLES MOBLEY LCPC (CO-OWNER)
(443) 208-6156
Entity
Organization
Contact information
Practice address
1406B CRAIN HWY S STE 201, GLEN BURNIE, MD 21061-4336
(410) 497-7139
Mailing address
23 PIERSIDE DR APT 237, BALTIMORE, MD 21230-5476
(443) 208-6156
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/10/2025
Last updated
07/11/2025
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