Anthony Michell Lathan is a Portland, Oregon based counselor who is specialized as Mental Health Counselor. Active license number of Anthony Michell Lathan is T-21-1167 for Addiction (Substance Use Disorder) Counselor in Oregon. His current practice location is 1310 Sw 17th Ave, Portland. Patients can book an appointment with him at 503-231-2641.
Anthony Michell Lathan is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Anthony Michell Lathan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Anthony Michell Lathan
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
CADC-R/QMHP
Accepts Medicare Assignment:
No
Practice Address:
1310 Sw 17th Ave, Portland, Oregon, 97201-2522
Phone:
503-231-2641
Fax:
503-467-4077
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1316603053
NPI Enumeration Date:
16 Nov, 2021
NPI Last Update On:
20 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anthony Michell Lathan are as mentioned below.
License Number
Specialization
State
Status
T-21-1167
Addiction (Substance Use Disorder) Counselor
Oregon
Primary
Mental Health Counselor
Oregon
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Anthony Michell Lathan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
500813163
Medicaid
Oregon
500813165
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1776 Sw Madison St, Portland, Oregon
Zip:
97205-1715
Phone Number:
503-224-1044
Fax Number:
503-621-2235
Patients can reach Anthony Michell Lathan at 1310 Sw 17th Ave, Portland, Oregon or can call to book an appointment on 503-231-2641. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.