Healthcare Provider Details

I. General information

NPI: 1346061959
Provider Name (Legal Business Name): NATALIE H. SIZER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 11/11/2024
Certification Date: 11/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4255 WADE GREEN RD NW STE 414
KENNESAW GA
30144-1763
US

IV. Provider business mailing address

2285 PIEDMONT RIDGE CT
MARIETTA GA
30062-2513
US

V. Phone/Fax

Practice location:
  • Phone: 678-903-1862
  • Fax: 678-922-7767
Mailing address:
  • Phone: 916-807-1790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC015287
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: