Provider Demographics
NPI:1861218299
Name:DHANNANI, NATASHA A
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:A
Last Name:DHANNANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 W SPRING ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:GA
Mailing Address - Zip Code:30655-1914
Mailing Address - Country:US
Mailing Address - Phone:770-713-1402
Mailing Address - Fax:
Practice Address - Street 1:204 W SPRING ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:GA
Practice Address - Zip Code:30655-1914
Practice Address - Country:US
Practice Address - Phone:770-599-7508
Practice Address - Fax:866-731-7631
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling