Provider Demographics
NPI:1154476471
Name:FARRIOR, NATASHA ANTOYA (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:NATASHA
Middle Name:ANTOYA
Last Name:FARRIOR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:FARRIOR-SANFORD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:5370 NW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34482-5536
Mailing Address - Country:US
Mailing Address - Phone:352-207-5351
Mailing Address - Fax:
Practice Address - Street 1:1601 NE 25TH AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-8800
Practice Address - Country:US
Practice Address - Phone:352-671-7884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8640101YM0800X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health