Porter, Natasha Regina
Porter, Natasha Regina is an sole proprietor health care provider with primary practice located at 300 W Dixie Ave Ste 11 , Elizabethtown KY 42701-1764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Porter, Natasha Regina can be contacted via phone (270) 900-1358.Contact Information
Primary practice address
300 W Dixie Ave Ste 11
Elizabethtown KY 42701-1764
Phone: (270) 900-1358
Fax: (844) 444-1150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MT4317 | Florida |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 247969 | Kentucky |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | F2100220 | Ohio |
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 262289 | Kentucky |
Profile Details
NPI number | 1326673526 |
---|---|
LBN Legal business name | Porter, Natasha Regina |
Credentials | PHD, LMFT, LPCC-S |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 8th, 2020 |
Last updated | Nov 12th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326673526 | NPPES |
Ohio | MEDICAID | 0464336 | |
Ohio | MEDICAID | 7100670980 |
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