Provider Demographics
NPI:1598323057
Name:NATASHA WALKER-OBRIEN MENTAL HEALTH COUNSELING PLLC
Entity Type:Organization
Organization Name:NATASHA WALKER-OBRIEN MENTAL HEALTH COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER-O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-991-9246
Mailing Address - Street 1:352 7TH AVE RM 705
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5889
Mailing Address - Country:US
Mailing Address - Phone:347-991-9246
Mailing Address - Fax:
Practice Address - Street 1:352 7TH AVE RM 705
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5889
Practice Address - Country:US
Practice Address - Phone:347-991-9246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY952LC1OtherEMPIRE BLUE CROSS BLUE SHIELD