Provider Demographics
NPI:1437800380
Name:NATALIE BELMONTE, LLC
Entity Type:Organization
Organization Name:NATALIE BELMONTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELMONTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, SEP
Authorized Official - Phone:773-294-2373
Mailing Address - Street 1:200 E EVERGREEN AVE STE 122
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3240
Mailing Address - Country:US
Mailing Address - Phone:773-294-2373
Mailing Address - Fax:
Practice Address - Street 1:200 E EVERGREEN AVE STE 122
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3240
Practice Address - Country:US
Practice Address - Phone:773-294-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-12
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1750703633OtherNPI