Provider Demographics
NPI:1457748667
Name:STAGE, NATALIE RENEE (LCPC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RENEE
Last Name:STAGE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 RAMSEY CIR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-2555
Mailing Address - Country:US
Mailing Address - Phone:708-955-2960
Mailing Address - Fax:
Practice Address - Street 1:2100 MANCHESTER RD STE 1618
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60187-4788
Practice Address - Country:US
Practice Address - Phone:630-923-5800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-25
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180009557101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional