Provider Demographics
NPI:1033704473
Name:JACOBS, NATALIE (RMHCI)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:JACOBS
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:CASTEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1837 NW 85TH LN
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6117
Mailing Address - Country:US
Mailing Address - Phone:239-281-9709
Mailing Address - Fax:
Practice Address - Street 1:1837 NW 85TH LN
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6117
Practice Address - Country:US
Practice Address - Phone:239-281-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health