Healthcare Provider Details

I. General information

NPI: 1740170943
Provider Name (Legal Business Name): NATALIE HOTTEL
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 19TH ST S
BIRMINGHAM AL
35205-4801
US

IV. Provider business mailing address

2923 BERWICK RD
BIRMINGHAM AL
35213-3415
US

V. Phone/Fax

Practice location:
  • Phone: 205-915-2252
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3420
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: