Healthcare Provider Details

I. General information

NPI: 1114798923
Provider Name (Legal Business Name): NATALIE WHITTIER MS, LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2024
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S VINE ST STE 103
URBANA IL
61801-7404
US

IV. Provider business mailing address

706 S SUNNY LN
URBANA IL
61802-4677
US

V. Phone/Fax

Practice location:
  • Phone: 217-384-6298
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.019723
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: