Healthcare Provider Details

I. General information

NPI: 1316616725
Provider Name (Legal Business Name): NATALIE GOBRIAL LGPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2021
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 N CHARLES ST STE 804
BALTIMORE MD
21201-5987
US

IV. Provider business mailing address

1800 N CHARLES ST STE 804
BALTIMORE MD
21201-5987
US

V. Phone/Fax

Practice location:
  • Phone: 667-205-1350
  • Fax:
Mailing address:
  • Phone: 667-205-1350
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPRC200012503
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLGP11889
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: