Provider Demographics
NPI:1588443808
Name:BLOUNT, LATONYA DANIELLE (BS, MS-CMHC)
Entity type:Individual
Prefix:
First Name:LATONYA
Middle Name:DANIELLE
Last Name:BLOUNT
Suffix:
Gender:F
Credentials:BS, MS-CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14993
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77347-4993
Mailing Address - Country:US
Mailing Address - Phone:281-898-8091
Mailing Address - Fax:
Practice Address - Street 1:1321 N HOUSTON AVE APT 800-B
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-2922
Practice Address - Country:US
Practice Address - Phone:281-898-8091
Practice Address - Fax:281-898-8091
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services