Provider Demographics
NPI:1598002883
Name:MOHTASHAMI, NATALIE Z (LMFT, LPC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:Z
Last Name:MOHTASHAMI
Suffix:
Gender:F
Credentials:LMFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 MONTROSE BLVD STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5445
Mailing Address - Country:US
Mailing Address - Phone:281-639-6434
Mailing Address - Fax:
Practice Address - Street 1:4200 MONTROSE BLVD STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5445
Practice Address - Country:US
Practice Address - Phone:281-639-6434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63742101YP2500X
TX201176106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional