Healthcare Provider Details

I. General information

NPI: 1396099941
Provider Name (Legal Business Name): NATALIE BASSETT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2012
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6916 HIGHWAY 82
GLENWOOD SPRINGS CO
81601
US

IV. Provider business mailing address

715 HORIZON DR SUITE 225
GRAND JUNCTION CO
81506
US

V. Phone/Fax

Practice location:
  • Phone: 970-945-2583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberACD.0001263
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0013322
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: