Provider Demographics
NPI:1366033508
Name:HUBBARD, NATASHA (LPC)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 LANGSTON BLVD
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666
Mailing Address - Country:US
Mailing Address - Phone:757-239-2976
Mailing Address - Fax:
Practice Address - Street 1:15 RESEARCH DR STE A
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-1324
Practice Address - Country:US
Practice Address - Phone:804-413-9037
Practice Address - Fax:757-852-0475
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-31
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010155101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional