Healthcare Provider Details

I. General information

NPI: 1366157752
Provider Name (Legal Business Name): NATALIE BJERREGAARD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/19/2023
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 WILLIAM JR ST
ALBANY GA
31707-3976
US

IV. Provider business mailing address

2315 CASCADE LN
ALBANY GA
31707-2425
US

V. Phone/Fax

Practice location:
  • Phone: 229-881-1038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC016017
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: