Latasha Dudley, BBA, M. Ed.
Counselor in Douglasville, GA. Individual provider (NPI-1).
NPI number1386936631
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1386936631
- Entity type
- Individual (NPI-1)
- Name
- Ms. Latasha Dudley
- Credential
- BBA, M. Ed.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2011
- Last updated
- Oct 21, 2019
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 |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YS0200X | Counselor, School | 429007 | GA | |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 225C00000X | Rehabilitation Counselor | – | GA | |
| 225CA2400X | Rehabilitation Counselor, Assistive Technology Practitioner | – | – |
Practice location
3275 Hunting Creek PassDouglasville, GA 30135-8469
Phone 678-927-5159 · Fax 770-726-9645
Mailing address
109 Alton DrLagrange, GA 30241-1879
Phone 404-397-8907 · Fax 770-726-9645
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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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All 15 Counselor providers in Douglasville · All 2,137 providers in Douglasville
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