Provider Demographics
NPI:1831618016
Name:HAUSE, NATASHA (MA, LMFT)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:
Last Name:HAUSE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 LA PLATA
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93109-2128
Mailing Address - Country:US
Mailing Address - Phone:805-570-9436
Mailing Address - Fax:
Practice Address - Street 1:621 CHAPALA ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-7010
Practice Address - Country:US
Practice Address - Phone:805-570-9436
Practice Address - Fax:888-972-6961
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2020-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT94355106H00000X
CA94355106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist