Provider Demographics
NPI:1316366933
Name:NATALIE NESBITT COUNSELING SERVIES LLC
Entity Type:Organization
Organization Name:NATALIE NESBITT COUNSELING SERVIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:NESBITT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-592-9023
Mailing Address - Street 1:9000 SHERIDAN ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8802
Mailing Address - Country:US
Mailing Address - Phone:954-592-9023
Mailing Address - Fax:
Practice Address - Street 1:9000 SHERIDAN ST
Practice Address - Street 2:SUITE 110
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8802
Practice Address - Country:US
Practice Address - Phone:954-592-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH12377101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty