Nataliamarie Farr, MA, LPC

Individual provider Active NPI Professional Counselor · Waskom,, TX

NPI 1053933929 · NPPES record last updated May 13, 2020

Key facts

NPI
1053933929
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
79023 (TX)
Practice address
Ascend Behavioral Health Services 495 Spur 156
Waskom,, TX 75692-7520
Phone
(469) 222-3261
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
79023TXMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 79023 TX Yes

Addresses

Primary practice location

Ascend Behavioral Health Services 495 Spur 156
Waskom,, TX 75692-7520

Mailing address

4217 Swiss Ave
Dallas, TX 75204-6611
Phone (469) 222-3261

Other practice location 1

4217 Swiss Ave
Dallas, TX 75204-6611
Phone (469) 222-3261

Other providers in Waskom,, TX

All providers in Waskom,, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.