Provider Demographics
NPI:1447553821
Name:GOLDSTEIN, NATASHA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:GOLDSTEIN
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:WERBOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:136 MINE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6417
Mailing Address - Country:US
Mailing Address - Phone:919-424-7975
Mailing Address - Fax:919-999-3522
Practice Address - Street 1:136 MINE LAKE CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6417
Practice Address - Country:US
Practice Address - Phone:919-424-7975
Practice Address - Fax:919-999-3522
Is Sole Proprietor?:No
Enumeration Date:2010-12-07
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1699106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist