Provider Demographics
NPI:1740799345
Name:KNOX, NATALIE M (PHD, LMFT, LPC-A)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:M
Last Name:KNOX
Suffix:
Gender:F
Credentials:PHD, LMFT, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3445 EXECUTIVE CENTER DRIVE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731
Mailing Address - Country:US
Mailing Address - Phone:512-680-2110
Mailing Address - Fax:
Practice Address - Street 1:3445 EXECUTIVE CENTER DRIVE
Practice Address - Street 2:SUITE 117
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731
Practice Address - Country:US
Practice Address - Phone:512-680-2110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-26
Last Update Date:2022-03-16
Deactivation Date:2018-10-01
Deactivation Code:
Reactivation Date:2022-02-25
Provider Licenses
StateLicense IDTaxonomies
TX202923106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist