Provider Demographics
NPI:1720373830
Name:STRICKLAND, NATASHA M (LMHC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:M
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2393 BOGOTA ST
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33980-5970
Mailing Address - Country:US
Mailing Address - Phone:941-876-8018
Mailing Address - Fax:
Practice Address - Street 1:2393 BOGOTA ST
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33980-5970
Practice Address - Country:US
Practice Address - Phone:941-876-8018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1760596480Medicaid