Provider Demographics
NPI:1619361219
Name:LENARD, NATALIE JEWEL (M ED)
Entity Type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:JEWEL
Last Name:LENARD
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15450 FM 1325
Mailing Address - Street 2:APT. 1721
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78728-2808
Mailing Address - Country:US
Mailing Address - Phone:281-995-8414
Mailing Address - Fax:
Practice Address - Street 1:15450 FM 1325
Practice Address - Street 2:APT. 1721
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78728-2808
Practice Address - Country:US
Practice Address - Phone:281-995-8414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-23
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69269101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional