O'Donnell, Natasha Brooke

O'Donnell, Natasha Brooke is an individual health care provider with primary practice located at 1901 E 1St St , Newton KS 67114-5010. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. O'Donnell, Natasha Brooke can be contacted via phone (316) 284-6402.

Contact Information

Primary practice address
1901 E 1St St Newton KS 67114-5010
Phone: (316) 284-6402
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X T-LMLP 1395 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X LMLP2436 Kansas
Behavioral Health & Social Service Providers / Clinical 103TC0700X LCP1450 Kansas

Profile Details

NPI number 1114208576
LBN Legal business name O'Donnell, Natasha Brooke
Credentials LCP, LMLP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2011
Last updated Jul 21st, 2022 - about 3 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 1114208576 NPPES
Kansas MEDICAID 200737670E

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