Provider Demographics
NPI:1194433771
Name:AUCH, NATASHA (CSW-PIP, QMHP)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:AUCH
Suffix:
Gender:F
Credentials:CSW-PIP, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43180 294TH ST
Mailing Address - Street 2:
Mailing Address - City:LESTERVILLE
Mailing Address - State:SD
Mailing Address - Zip Code:57040-5013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:43180 294TH ST
Practice Address - Street 2:
Practice Address - City:LESTERVILLE
Practice Address - State:SD
Practice Address - Zip Code:57040-5013
Practice Address - Country:US
Practice Address - Phone:605-760-1234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD50951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical