Provider Demographics
NPI:1316616725
Name:GOBRIAL, NATALIE (LGPC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:GOBRIAL
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 N CHARLES ST STE 804
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-5987
Mailing Address - Country:US
Mailing Address - Phone:667-205-1350
Mailing Address - Fax:
Practice Address - Street 1:1800 N CHARLES ST STE 804
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5987
Practice Address - Country:US
Practice Address - Phone:667-205-1350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11889101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health