Healthcare Provider Details

I. General information

NPI: 1346890969
Provider Name (Legal Business Name): NATALIE MARIE HANKS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2019
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E 3RD ST STE 212
RIFLE CO
81650-2346
US

IV. Provider business mailing address

185 REMINGTON ST
RIFLE CO
81650-9628
US

V. Phone/Fax

Practice location:
  • Phone: 970-316-5009
  • Fax:
Mailing address:
  • Phone: 307-380-3014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0017277
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: