Provider Demographics
NPI:1831660794
Name:MARC, NATALIE (LMHC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:MARC
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1367 E 86TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-5131
Mailing Address - Country:US
Mailing Address - Phone:718-787-6038
Mailing Address - Fax:
Practice Address - Street 1:32 UNION SQ E STE 511
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3244
Practice Address - Country:US
Practice Address - Phone:718-787-6038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health