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

MS. Latisa Ann Graham, MHC-LP

Individual provider Mental Health Counselor · NPI 1477441723

MS. Latisa Ann Graham, MHC-LP is a Mental Health Counselor in Bay Shore, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

160 Howells Rd Ste 27
Bay Shore, NY 11706-5320
Phone: (631) 954-2554
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P111892 (NY)

Record details

NPI number1477441723
Entity typeIndividual (Type 1)
GenderFemale
Credentials MHC-LP
Sole proprietorYes
NPI enumeratedJune 25, 2025
Last updated in NPPESJune 25, 2025
Certification dateJune 24, 2025

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