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NPI Code Detail

MEDICARE: NATASHA MYIAH MOTI MA

MEDICARE: NATASHA MYIAH MOTI MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497891659
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA MYIAH MOTI MA
Provider Business Mailing Address
First Line : 1823 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2344
Country : US
Telephone Number : 803-779-5363
Fax Number :
Provider Business Practice Location Address
First Line : 1823 GADSDEN ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2344
Country : US
Telephone Number : 803-779-5363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 09/25/2012

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Directions to “ NATASHA MYIAH MOTI MA” Practice Location

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