Provider Demographics
NPI:1518310960
Name:ALVAREZ, NATACHA (LCAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:NATACHA
Middle Name:
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:LCAT, ATR-BC
Other - Prefix:MS
Other - First Name:NATACHA
Other - Middle Name:
Other - Last Name:ALVAREZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCAT, ATR-BC
Mailing Address - Street 1:3450 28TH ST
Mailing Address - Street 2:3L
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3587
Mailing Address - Country:US
Mailing Address - Phone:646-894-0056
Mailing Address - Fax:
Practice Address - Street 1:3450 28TH ST
Practice Address - Street 2:3L
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3587
Practice Address - Country:US
Practice Address - Phone:646-894-0056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health