Provider Demographics
NPI:1285914432
Name:LATTURE, SETH K (LPC)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:K
Last Name:LATTURE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 S COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-9307
Mailing Address - Country:US
Mailing Address - Phone:501-499-8699
Mailing Address - Fax:501-205-4588
Practice Address - Street 1:710 S COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72034-9307
Practice Address - Country:US
Practice Address - Phone:501-499-8699
Practice Address - Fax:501-205-4588
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1410087101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional