Provider Demographics
NPI:1578904785
Name:POSADA, NATASHA (BS)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:POSADA
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 HERTERTON WAY
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7352
Mailing Address - Country:US
Mailing Address - Phone:786-419-9609
Mailing Address - Fax:
Practice Address - Street 1:915 HERTERTON WAY
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-7352
Practice Address - Country:US
Practice Address - Phone:786-419-9609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15464101YM0800X
103K00000X, 104100000X
GALPC013175101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL022976000Medicaid
GA003269175DMedicaid