Provider Demographics
NPI:1639911225
Name:REICH, NATALIE MARIAM (T-LMHC)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIAM
Last Name:REICH
Suffix:
Gender:
Credentials:T-LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-0173
Mailing Address - Country:US
Mailing Address - Phone:515-451-2278
Mailing Address - Fax:
Practice Address - Street 1:2603 NORTHRIDGE PKWY STE 101
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-4046
Practice Address - Country:US
Practice Address - Phone:515-451-2278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-12
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA124744101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA124744OtherT-LMHC LICENSE NUMBER