Organization
LATITUDE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARA A VAUGHN PLMHP (OWNER)
(402) 212-4894
Entity
Organization
Contact information
Practice address
8431 S 106TH ST, LA VISTA, NE 68128-3244
(402) 212-4894
(402) 330-8815
Mailing address
8431 S 106TH ST, LA VISTA, NE 68128-3244
(402) 212-4894
(402) 330-8815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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