Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia Marie Latraille

Individual provider Mental Health Counselor · NPI 1407473952

Alicia Marie Latraille is a Mental Health Counselor in Odessa, Texas. Qualified in 2022, 4 years ago. Practices with Permian Basin Community Centers for Mental Health and Mental Retardati, a 19-clinician group and offers telehealth. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

600 N Grant Ave
Odessa, TX 79761-4503
Phone: (432) 256-4424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 93565 (TX)

Record details

NPI number1407473952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2020
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Permian Basin Community Centers For Mental Health And Mental Retardati — 19 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Odessa