Individual
LATAYA FOREMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16645 BARBERRY ST APT B4, SOUTHGATE, MI 48195-1557
(734) 360-4840
Mailing address
11110 WILSHIRE DR, DETROIT, MI 48213-1690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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