Individual
LATOYA CELESTE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 BRUSHY FORK DR, GREENSBORO, NC 27406-8059
(336) 303-6922
Mailing address
5103 MALLISON WAY, MC LEANSVILLE, NC 27301-9004
(336) 303-6922
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Enumeration date
09/29/2025
Last updated
10/01/2025
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