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1033013867 NPI number — DR NATE THERAPY LLC

NPI Number: 1033013867
Health Care Provider/Practitioner: DR NATE THERAPY LLC

Information about “1033013867” NPI (DR NATE THERAPY LLC) exists in 1033013867 in HTML format HTML  |  1033013867 in plain Text format TXT  |  1033013867 in PDF (Portable Document Format) PDF  |  1033013867 in an XML format XML  formats.

NPI Number : 1033013867 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1033013867",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DR NATE THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8256 S CHEROKEE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TERRE HAUTE",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47802-5014",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "727-537-6693",
    "MailingAddressFaxNumber": "812-803-1647",
    "FirstLinePracticeLocationAddress": "8256 S CHEROKEE ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TERRE HAUTE",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47802-5014",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "727-537-6693",
    "PracticeLocationAddressFaxNumber": "812-803-1647",
    "EnumerationDate": "10/05/2026",
    "LastUpdateDate": "10/05/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WAGNER",
    "AuthorizedOfficialFirstName": "NATHANIEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PHD",
    "AuthorizedOfficialTelephoneNumber": "812-370-0370",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YM0800X",
        "TaxonomyName": "Mental Health Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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