Provider Demographics
NPI:1629706387
Name:FLEMING, NATALIE MARIE (LPCC, ATR)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LPCC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1019 GAYLEY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-3437
Mailing Address - Country:US
Mailing Address - Phone:424-273-8900
Mailing Address - Fax:
Practice Address - Street 1:1019 GAYLEY AVE FL 2
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-3437
Practice Address - Country:US
Practice Address - Phone:424-273-8900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017009253101YP2500X
CALPCC11291101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional