Provider Demographics
NPI:1578803797
Name:YOUNG, NATALIE ROTHMAN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ROTHMAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:ROTHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1402 ROYAL PALM BEACH BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1691
Mailing Address - Country:US
Mailing Address - Phone:561-389-0682
Mailing Address - Fax:
Practice Address - Street 1:1402 ROYAL PALM BEACH BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1691
Practice Address - Country:US
Practice Address - Phone:561-389-0682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11385101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health