Provider Demographics
NPI:1871392068
Name:VALENTIN, NATTALY
Entity type:Individual
Prefix:
First Name:NATTALY
Middle Name:
Last Name:VALENTIN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:NATTALY
Other - Middle Name:
Other - Last Name:JIMENEZ CRUZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18 W PALM CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33852-7396
Mailing Address - Country:US
Mailing Address - Phone:863-812-2849
Mailing Address - Fax:
Practice Address - Street 1:18 W PALM CIR
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-7396
Practice Address - Country:US
Practice Address - Phone:863-812-2849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor