Healthcare Provider Details

I. General information

NPI: 1952817702
Provider Name (Legal Business Name): NATALIE N CORIELL LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2017
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 S BIG BEND BLVD
RICHMOND HEIGHTS MO
63117-2404
US

IV. Provider business mailing address

2026 S BIG BEND BLVD
RICHMOND HEIGHTS MO
63117-2404
US

V. Phone/Fax

Practice location:
  • Phone: 314-485-9164
  • Fax:
Mailing address:
  • Phone: 217-316-6851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2010016638
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: