Healthcare Provider Details

I. General information

NPI: 1295115228
Provider Name (Legal Business Name): NATALIA SOLE-PEDROSA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 W HANLEY AVE STE 101
COEUR D ALENE ID
83815-8994
US

IV. Provider business mailing address

PO BOX 2971
COEUR D ALENE ID
83816-2971
US

V. Phone/Fax

Practice location:
  • Phone: 714-519-6247
  • Fax: 208-660-0468
Mailing address:
  • Phone: 714-519-6247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: