Provider Demographics
NPI:1861044711
Name:NATALIE HOGGE LLC
Entity Type:Organization
Organization Name:NATALIE HOGGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HOGGE
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP
Authorized Official - Phone:916-847-9979
Mailing Address - Street 1:6123 LAMPLIGHTER DR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-1419
Mailing Address - Country:US
Mailing Address - Phone:917-847-9979
Mailing Address - Fax:
Practice Address - Street 1:11725 ARBOR ST STE 210
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2974
Practice Address - Country:US
Practice Address - Phone:916-847-9979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt TherapistGroup - Multi-Specialty