Healthcare Provider Details

I. General information

NPI: 1831882802
Provider Name (Legal Business Name): NATALIA FOLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S WEIR CANYON RD STE 157-455
ANAHEIM CA
92808-1962
US

IV. Provider business mailing address

751 S WEIR CANYON RD STE 157-455
ANAHEIM CA
92808-1962
US

V. Phone/Fax

Practice location:
  • Phone: 310-707-8098
  • Fax:
Mailing address:
  • Phone: 310-707-8098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberAMFT137037
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT137037
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberAMFT137037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: