Provider Demographics
NPI:1043539604
Name:NATURALLY YOU
Entity type:Organization
Organization Name:NATURALLY YOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MICHALICA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:940-484-6275
Mailing Address - Street 1:215 E UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76209-2011
Mailing Address - Country:US
Mailing Address - Phone:940-484-6275
Mailing Address - Fax:
Practice Address - Street 1:215 E UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76209-2011
Practice Address - Country:US
Practice Address - Phone:940-484-6275
Practice Address - Fax:940-312-7888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-21
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty