Provider Demographics
NPI:1184483232
Name:AUG, NATALIE
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:
Last Name:AUG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 S GREENFIELD RD UNIT 194
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-1252
Mailing Address - Country:US
Mailing Address - Phone:952-994-0152
Mailing Address - Fax:
Practice Address - Street 1:6500 S MILLER RD
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-1503
Practice Address - Country:US
Practice Address - Phone:623-628-8788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health