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

Lateasha Nicole, SAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013617265

Lateasha Nicole, SAC is an Addiction (Substance Use Disorder) Counselor in Mount Pleasant, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

5735 Durand Ave
Mount Pleasant, WI 53406-5011
Phone: (262) 598-1392
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 16574 (WI)

Record details

NPI number1013617265
Entity typeIndividual (Type 1)
GenderFemale
Credentials SAC
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

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