Provider Demographics
NPI:1588225767
Name:HYLAND, NATALIE L
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:L
Last Name:HYLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 SHADY PINE CIR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-8689
Mailing Address - Country:US
Mailing Address - Phone:803-554-0858
Mailing Address - Fax:
Practice Address - Street 1:1850 SHADY PINE CIR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-8689
Practice Address - Country:US
Practice Address - Phone:803-554-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor