Provider Demographics
NPI:1457126120
Name:PERKINS, NATHALIE GERALDINE (COUNSELING RESIDENT)
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:GERALDINE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:COUNSELING RESIDENT
Other - Prefix:
Other - First Name:NATHALIE
Other - Middle Name:GERALDINE
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3522 WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064-1980
Mailing Address - Country:US
Mailing Address - Phone:540-977-6300
Mailing Address - Fax:
Practice Address - Street 1:3522 WEBSTER RD
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:24064-1980
Practice Address - Country:US
Practice Address - Phone:540-977-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0704016501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health