Black, Natasha

Black, Natasha is an individual health care provider with primary practice located at 1909 Commerce Ave , Cullman AL 35055-6151. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Black, Natasha can be contacted via phone (256) 734-4688.

Contact Information

Primary practice address
1909 Commerce Ave Cullman AL 35055-6151
Phone: (256) 734-4688
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1740789205
LBN Legal business name Black, Natasha
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2018
Last updated Feb 9th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740789205 NPPES
Alabama MEDICAID 330000014

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