Provider Demographics
NPI:1164195871
Name:FREITAS, NATASHA ANNE (AMFT)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:ANNE
Last Name:FREITAS
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:MRS
Other - First Name:NATASHA
Other - Middle Name:ANNE
Other - Last Name:BIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30101 AGOURA COURT
Mailing Address - Street 2:LOBBY 3, SUITE 150
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301
Mailing Address - Country:US
Mailing Address - Phone:818-658-2137
Mailing Address - Fax:
Practice Address - Street 1:30101 AGOURA COURT
Practice Address - Street 2:LOBBY 3, SUITE 150
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301
Practice Address - Country:US
Practice Address - Phone:818-658-2137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120224106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist