Provider Demographics
NPI:1720493745
Name:GRUBBS, NATALIE (LPC)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:GRUBBS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 NOBLE CREEK DR NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-5124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:171 VILLAGE PKWY NE
Practice Address - Street 2:BUILDING 8
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-4061
Practice Address - Country:US
Practice Address - Phone:404-941-5437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-28
Last Update Date:2014-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional