Provider Demographics
NPI:1487147880
Name:PLATER, LATOYA EELISKA (LPC)
Entity type:Individual
Prefix:MRS
First Name:LATOYA
Middle Name:EELISKA
Last Name:PLATER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1648 TAYLORCREST DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75253-4824
Mailing Address - Country:US
Mailing Address - Phone:972-774-8947
Mailing Address - Fax:
Practice Address - Street 1:1648 TAYLORCREST DR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75253-4824
Practice Address - Country:US
Practice Address - Phone:972-774-8947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-11
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX73102101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000OtherNONE