Provider Demographics
NPI:1558779751
Name:RAMSEY, NATASHA M (LPC)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:M
Last Name:RAMSEY
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 1:3617 BRASELTON HWY STE 104
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-4667
Mailing Address - Country:US
Mailing Address - Phone:770-727-1770
Mailing Address - Fax:770-783-8927
Practice Address - Street 1:3617 BRASELTON HWY STE 104
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-4667
Practice Address - Country:US
Practice Address - Phone:770-727-1770
Practice Address - Fax:770-783-8927
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009121101Y00000X
GALPC009127101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor