Provider Demographics
NPI:1104510353
Name:NATALIE PORTER LPC
Entity type:Organization
Organization Name:NATALIE PORTER LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:646-942-4369
Mailing Address - Street 1:9 NORTHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:QUAKER HILL
Mailing Address - State:CT
Mailing Address - Zip Code:06375-1218
Mailing Address - Country:US
Mailing Address - Phone:646-942-4369
Mailing Address - Fax:
Practice Address - Street 1:9 NORTHWOOD RD
Practice Address - Street 2:
Practice Address - City:QUAKER HILL
Practice Address - State:CT
Practice Address - Zip Code:06375-1218
Practice Address - Country:US
Practice Address - Phone:860-444-5141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty