Healthcare Provider Details

I. General information

NPI: 1043754617
Provider Name (Legal Business Name): NATALIE CARL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2016
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date: 05/13/2026
Reactivation Date: 06/24/2026

III. Provider practice location address

701 E 15TH ST STE 101
PLANO TX
75074-0708
US

IV. Provider business mailing address

2624 CLEAR BROOK DR
MCKINNEY TX
75071-2711
US

V. Phone/Fax

Practice location:
  • Phone: 513-293-7894
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number102345
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: