Provider Demographics
NPI:1720604648
Name:LENTNER, NATASHA SABRINA (ALMFT)
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:SABRINA
Last Name:LENTNER
Suffix:
Gender:F
Credentials:ALMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3650 183RD ST
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2633
Mailing Address - Country:US
Mailing Address - Phone:708-957-4597
Mailing Address - Fax:708-957-4821
Practice Address - Street 1:8745 W HIGGINS RD STE 110
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2753
Practice Address - Country:US
Practice Address - Phone:708-274-7991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208.000647106H00000X
IL166.001389106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist