Provider Demographics
NPI:1194614461
Name:MCCOPPIN, NATALIE RYAN (BA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:RYAN
Last Name:MCCOPPIN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:RYAN
Other - Last Name:MANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1298 SEAROBINS ROW
Mailing Address - Street 2:
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-2926
Mailing Address - Country:US
Mailing Address - Phone:828-337-1561
Mailing Address - Fax:
Practice Address - Street 1:4437 MAIN ST
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-4451
Practice Address - Country:US
Practice Address - Phone:910-754-4449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)