Organization
NATALIS COUNSELING AND PSYCHOLOGY SOLUTIONS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA ELSEN (OFFICE MANAGER)
(651) 330-2360
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3898
(651) 330-2360
(651) 207-4000
Mailing address
1600 UNIVERSITY AVE W STE 12, SAINT PAUL, MN 55104-3898
(651) 330-2360
(651) 207-4000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
103TP2700X
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08296JO
BLUE CROSS/BLUE SHIELD
MN
05
—
420652500
—
MN
Enumeration date
08/30/2006
Last updated
07/21/2022
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