Healthcare Provider Details

I. General information

NPI: 1811876766
Provider Name (Legal Business Name): NATASHA LLAMAS SUDRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2025
Last Update Date: 08/27/2025
Certification Date: 08/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 9TH ST
MARYSVILLE CA
95901-5362
US

IV. Provider business mailing address

430 TEEGARDEN AVE
YUBA CITY CA
95991-4541
US

V. Phone/Fax

Practice location:
  • Phone: 530-742-6670
  • Fax:
Mailing address:
  • Phone: 530-674-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: