Healthcare Provider Details

I. General information

NPI: 1962581280
Provider Name (Legal Business Name): NATASHA LYNN BUHRMAN-KLEIER LCSW; LMHP, CMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 10/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3260 N HAYDEN RD STE 101
SCOTTSDALE AZ
85251-6650
US

IV. Provider business mailing address

23097 S 212TH PL
QUEEN CREEK AZ
85242-6972
US

V. Phone/Fax

Practice location:
  • Phone: 480-804-0326
  • Fax:
Mailing address:
  • Phone: 402-709-4586
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3079
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1209
License Number StateNE
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number12284
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: