Search › Texas › 364SP0808X
Latonya Polk
NPI 1861551814 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1328 Heritage Blvd
Longview, TX 75605 - Phone
- (902) 260-0412
- Fax
- (866) 877-1258
- Organisation at this address
- Rustic Roots Family Care Pllc
Emmanuel Residential Services
Emmanuel Behavioral Health & Wellness PllcInferred from a shared address, not stated in the registry.
Additional practice sites
- 205 E Us Highway 80, White Oak, TX
- 807 S Mobberly Ave, Longview, TX
Registry record
- Primary taxonomy
- 364SP0808X
364SP0808X
- Also registered as
- 261QA0600X
251E00000X
310400000X
320900000X - Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas