Provider Demographics
NPI:1730344268
Name:PORTER-HOWARD, LATANYA
Entity type:Individual
Prefix:MRS
First Name:LATANYA
Middle Name:
Last Name:PORTER-HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LATANYA
Other - Middle Name:
Other - Last Name:PORTER-HOWARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:7375 WOODWARD AVE
Mailing Address - Street 2:SUITE 1570
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3158
Mailing Address - Country:US
Mailing Address - Phone:313-309-1475
Mailing Address - Fax:
Practice Address - Street 1:7375 WOODWARD AVE
Practice Address - Street 2:SUITE 1570
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-3158
Practice Address - Country:US
Practice Address - Phone:313-309-1475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker