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
Fax: (844) 444-1150
Website:

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326673526 NPPES
Ohio MEDICAID 0464336
Ohio MEDICAID 7100670980

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