| Natasha Fortune | |
|
3418 Northern Blvd Fl 4 Long Island City NY 11101-2236 | |
| (646) 812-0830 | |
| Not Available |
| Full Name | Natasha Fortune |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3418 Northern Blvd Fl 4, Long Island City, New York |
| Authorized Official Name and Position | Natasha Fortune (OWNER, LMHC) |
| Authorized Official Contact | 6468120830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Natasha Fortune 67 Burns St Apt 6l Forest Hills NY 11375-5226 Ph: () - | Natasha Fortune 3418 Northern Blvd Fl 4 Long Island City NY 11101-2236 Ph: (646) 812-0830 |
| NPI Number | 1144874322 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 07/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144874322 | NPI | - | NPPES |
| 0095241 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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