Provider Demographics
NPI:1366515777
Name:LAMPKIN, NATALIE SHAWN (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:SHAWN
Last Name:LAMPKIN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 FRUITVILLE RD STE 137
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34237-5367
Mailing Address - Country:US
Mailing Address - Phone:941-544-1850
Mailing Address - Fax:
Practice Address - Street 1:2803 FRUITVILLE RD STE 137
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-5367
Practice Address - Country:US
Practice Address - Phone:941-932-1134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL075616400Medicaid