| Doctor Name: | LATONYA LEE NIANG |
| NPI Number: | 1023445574 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | 2335 |
| Business Practice Address: | 161 Poole Rd #3 Waterford Business Suites Leland, NC - 284519661 |
| Business Phone Number: | 8663391851 |
| Business Fax Number: | 8885085247 |
| Mailing Address: | 161 Poole Rd #3, Waterford Business Suites LELAND |
| State: | NC |
| Postal Code: | 284519661 |
| Phone Number: | 8663391851 |
| Fax Number: | 8885085247 |
| NPI Enumeration Date: | 09/30/2013 |
| NPI Last Update Date: | 09/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2335 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |