Provider Demographics
NPI:1063058261
Name:NATALI EFSTATHIOU LP LLC
Entity type:Organization
Organization Name:NATALI EFSTATHIOU LP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALI
Authorized Official - Middle Name:
Authorized Official - Last Name:EFSTATHIOU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-200-8269
Mailing Address - Street 1:73 WHITE BRIDGE RD STE 103 PMB 183
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1444
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3200 W END AVE STE 500
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1322
Practice Address - Country:US
Practice Address - Phone:615-200-8269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty