Provider Demographics
NPI:1700490745
Name:WEST, NATALIE (LPC)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:NATALIE
Other - Middle Name:CHRISTINE
Other - Last Name:HAWLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1516 KILTARTAN DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-3744
Mailing Address - Country:US
Mailing Address - Phone:214-546-9951
Mailing Address - Fax:
Practice Address - Street 1:8140 WALNUT HILL LN STE 440
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4350
Practice Address - Country:US
Practice Address - Phone:214-546-9951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-08
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
80792101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health