Individual
TANEISHA AUDIE-ANN LAUTURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
191 LIBERTY CORNERS RD, PINE ISLAND, NY 10969-1618
(240) 374-3104
Mailing address
191 LIBERTY CORNERS RD, PINE ISLAND, NY 10969-1618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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