Healthcare Provider Details

I. General information

NPI: 1013365261
Provider Name (Legal Business Name): NATASHA EVE HIRTE LPC, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2016
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 N 109TH ST STE 1
WAUWATOSA WI
53226-3754
US

IV. Provider business mailing address

830 N 109TH ST STE 1
WAUWATOSA WI
53226-3754
US

V. Phone/Fax

Practice location:
  • Phone: 608-535-9453
  • Fax: 414-348-1918
Mailing address:
  • Phone: 608-535-9453
  • Fax: 414-348-1918

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6809-125
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: