1932543394 NPI number — MRS. NATASHA DIONNE OATES MA EDS LCMHC

Table of content: MRS. NATASHA DIONNE OATES MA EDS LCMHC (NPI 1932543394)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932543394 NPI number — MRS. NATASHA DIONNE OATES MA EDS LCMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OATES
Provider First Name:
NATASHA
Provider Middle Name:
DIONNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA EDS LCMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932543394
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4258 NC HIGHWAY 49 S UNIT 1462
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISBURG
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28075-9702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
980-285-3833
Provider Business Mailing Address Fax Number:
980-285-3833

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
801 E MOREHEAD ST STE 105
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-820-4293
Provider Business Practice Location Address Fax Number:
704-830-0520
Provider Enumeration Date:
04/28/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X , with the licence number:  10054 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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