Healthcare Provider Details

I. General information

NPI: 1942009444
Provider Name (Legal Business Name): NATALIE RIEBEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 OCONEE SQUARE DR
SENECA SC
29678-2546
US

IV. Provider business mailing address

211 EATON ST
CENTRAL SC
29630-9109
US

V. Phone/Fax

Practice location:
  • Phone: 866-850-6585
  • Fax:
Mailing address:
  • Phone: 540-293-1238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: