Individual ProviderLatonius WhiteCounselorBehavioral Health & Social Service ProvidersPractice Address5715 S Broadway, Los Angeles, CA 90037-4131(323) 948-0444PECOS EnrollmentBased on the most recent information from CMS, provider Latonius White does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1003291857Provider TypeIndividualFull NameWhite, LatoniusGenderFemaleSole ProprietorYesEnumeration Date7/22/2015Last Updated10/21/2025Contact InformationPractice LocationPractice Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0424Mailing LocationMailing Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0424Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR14196908825California