Provider Demographics
NPI:1124564034
Name:SALDARRIAGA, NATALIA (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:
Last Name:SALDARRIAGA
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:NATALIA
Other - Middle Name:
Other - Last Name:TAMAYO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1951 NW 17TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-1547
Mailing Address - Country:US
Mailing Address - Phone:305-409-7293
Mailing Address - Fax:
Practice Address - Street 1:1951 NW 17TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-1547
Practice Address - Country:US
Practice Address - Phone:305-409-7293
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL17019101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH17019OtherDEPARTMENT OF HEALTH