MEDICARE: MISS NATASHA MARIE INLOW LPC

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
1	101YP2500X	Professional Counselor	5526	SC

General Provider Information

NPI Number	:	1134331051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NATASHA MARIE INLOW LPC

Provider Business Mailing Address
First Line	:	405 CARDOON CT
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29303-5159
Country	:	US
Telephone Number	:	864-597-6875
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 N PINE ST STE 303
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29302-1604
Country	:	US
Telephone Number	:	864-586-5353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/19/2020

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