Healthcare Provider Details

I. General information

NPI: 1114657145
Provider Name (Legal Business Name): NATALY APONTE COLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7823 ABAGAIL DR
LAKELAND FL
33810-1385
US

IV. Provider business mailing address

PO BOX 1896
OROCOVIS PR
00720-1896
US

V. Phone/Fax

Practice location:
  • Phone: 863-380-9366
  • Fax:
Mailing address:
  • Phone: 787-422-6193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number7315
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH25596
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4152
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: