Provider Demographics
NPI:1467890756
Name:POINDEXTER, NATASHA MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:NATASHA
Middle Name:MARIE
Last Name:POINDEXTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:MARIE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRAWFORD
Mailing Address - Street 1:2408 S 51ST CT STE G
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-3666
Mailing Address - Country:US
Mailing Address - Phone:918-776-7672
Mailing Address - Fax:
Practice Address - Street 1:2408 S 51ST CT STE G
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72903-3666
Practice Address - Country:US
Practice Address - Phone:918-776-7672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-07
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA1902025101YM0800X
ARP2012119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health