Provider Demographics
NPI:1689258600
Name:PRITCHARD, NATALIE (LPC-MHSP (TEMPORARY))
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:PRITCHARD
Suffix:
Gender:F
Credentials:LPC-MHSP (TEMPORARY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5038 WHITEWATER CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38117-7202
Mailing Address - Country:US
Mailing Address - Phone:901-483-7735
Mailing Address - Fax:
Practice Address - Street 1:240 MADISON AVE STE 602
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38103-2770
Practice Address - Country:US
Practice Address - Phone:901-290-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health