Provider Demographics
NPI:1285206334
Name:HASS, NATASHA (LMFT)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:HASS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10907 NE 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:BISCAYNE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7225
Mailing Address - Country:US
Mailing Address - Phone:305-345-3385
Mailing Address - Fax:
Practice Address - Street 1:10907 NE 9TH AVE
Practice Address - Street 2:
Practice Address - City:BISCAYNE PARK
Practice Address - State:FL
Practice Address - Zip Code:33161-7225
Practice Address - Country:US
Practice Address - Phone:305-345-3385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4107106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist