Provider Demographics
NPI:1497491757
Name:COHEN, NATALIE HAINES (LMHC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:HAINES
Last Name:COHEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:ROSELAWN
Mailing Address - State:IN
Mailing Address - Zip Code:46372-0334
Mailing Address - Country:US
Mailing Address - Phone:219-775-0384
Mailing Address - Fax:
Practice Address - Street 1:10254 N 583 E
Practice Address - Street 2:
Practice Address - City:DEMOTTE
Practice Address - State:IN
Practice Address - Zip Code:46310-9013
Practice Address - Country:US
Practice Address - Phone:219-775-0384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003575A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health