MEDICARE: NATALYA SACKS LCPC

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	101YM0800X	Mental Health Counselor	LC3280	MD

General Provider Information

NPI Number	:	1548125834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALYA SACKS LCPC

Provider Business Mailing Address
First Line	:	12320 OLD CANAL RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-6238
Country	:	US
Telephone Number	:	301-217-0855
Fax Number	:	301-217-0855

Provider Business Practice Location Address
First Line	:	12320 OLD CANAL RD
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-6238
Country	:	US
Telephone Number	:	301-217-0855
Fax Number	:	301-217-0855

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

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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