Provider Demographics
NPI:1700242054
Name:RIDINGS, NATALIE LOVE (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:LOVE
Last Name:RIDINGS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:LOVE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:1810 RICHCREEK RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1848
Mailing Address - Country:US
Mailing Address - Phone:214-686-5067
Mailing Address - Fax:
Practice Address - Street 1:5000 BEE CAVES RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5266
Practice Address - Country:US
Practice Address - Phone:512-850-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70217101YP2500X
TX201535106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist