Provider Demographics
NPI:1871920637
Name:WINTERS, NATALIE ANNE FANTINI (PHD)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:ANNE FANTINI
Last Name:WINTERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7864 CAMARGO RD
Mailing Address - Street 2:INSPIRED LIVING, LLC
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2652
Mailing Address - Country:US
Mailing Address - Phone:513-713-6614
Mailing Address - Fax:
Practice Address - Street 1:7864 CAMARGO RD
Practice Address - Street 2:INSPIRED LIVING, LLC
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-2652
Practice Address - Country:US
Practice Address - Phone:513-713-6614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-10
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7023103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling