Latisha T Isaac
Counselor, Addiction (Substance Use Disorder) in Brooklyn, NY. Individual provider (NPI-1).
NPI number1164047924
StatusActive
Last updated in NPPESJun 8, 2020
Details
- NPI
- 1164047924
- Entity type
- Individual (NPI-1)
- Name
- Latisha T Isaac
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 8, 2020
- Certification date
- Jun 8, 2020
- Last updated
- Jun 8, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
191 Joralemon StBrooklyn, NY 11201-4306
Phone 718-262-8190
Mailing address
191 Joralemon StBrooklyn, NY 11201-4306
Phone 718-262-8190
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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