Provider Demographics
NPI:1023591740
Name:STEELE, NATALIE DAVILA (LMFT)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:DAVILA
Last Name:STEELE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:DENISE
Other - Last Name:DAVILA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:5666 LA JOLLA BLVD # 231
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7523
Mailing Address - Country:US
Mailing Address - Phone:619-370-9671
Mailing Address - Fax:
Practice Address - Street 1:7730 HERSCHEL AVE STE K
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4432
Practice Address - Country:US
Practice Address - Phone:858-255-1182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-09
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist