Provider Demographics
NPI:1760178263
Name:NATOOLO, VIVIAN (MPH MBA LBHT)
Entity Type:Individual
Prefix:
First Name:VIVIAN
Middle Name:
Last Name:NATOOLO
Suffix:
Gender:F
Credentials:MPH MBA LBHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 E MCDOWELL RD STE 402
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-4448
Mailing Address - Country:US
Mailing Address - Phone:602-880-1327
Mailing Address - Fax:
Practice Address - Street 1:4040 E MCDOWELL RD STE 402
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-4448
Practice Address - Country:US
Practice Address - Phone:602-880-1327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health