Provider Demographics
NPI:1043014046
Name:OUSLEY, LATAISHA (CHES)
Entity type:Individual
Prefix:MISS
First Name:LATAISHA
Middle Name:
Last Name:OUSLEY
Suffix:
Gender:
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 W 148TH ST APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3105
Mailing Address - Country:US
Mailing Address - Phone:646-228-9485
Mailing Address - Fax:
Practice Address - Street 1:211 W 148TH ST APT 2D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3105
Practice Address - Country:US
Practice Address - Phone:646-228-9485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator