Provider Demographics
NPI:1336760826
Name:NATALIE STEELE, LICENSED MARRIAGE & FAMILY THERAPIST INC
Entity Type:Organization
Organization Name:NATALIE STEELE, LICENSED MARRIAGE & FAMILY THERAPIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:DAVILA
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:619-370-9671
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty