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

Latara Marie Charleston, 171M00000X

Individual provider Case Manager/Care Coordinator · NPI 1205672870

Latara Marie Charleston, 171M00000X is a Case Manager/Care Coordinator in Euclid, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024
Specialties on file
2

Practice location Address checks out

25701 N Lakeland Blvd Ste 25701N
Euclid, OH 44132-2450
Phone: (215) 273-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1205672870
Entity typeIndividual (Type 1)
GenderFemale
Credentials 171M00000X
Sole proprietorYes
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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