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NPI Code Detail

MEDICARE: MRS. NATALIE KEATON WINDHAM

MEDICARE:  MRS. NATALIE KEATON WINDHAM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor100839TX

General Provider Information

NPI Number : 1083553655
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE KEATON WINDHAM
Provider Business Mailing Address
First Line : 6804 CAMERON
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-5072
Country : US
Telephone Number : 903-277-3020
Fax Number :
Provider Business Practice Location Address
First Line : 6804 CAMERON
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-5072
Country : US
Telephone Number : 903-277-3020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2026
Last Update Date : 03/27/2026

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Directions to “ MRS. NATALIE KEATON WINDHAM ” Practice Location

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