Provider Demographics
NPI:1174217285
Name:HORN, NATALIE ELAINE (LMFT-A)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:ELAINE
Last Name:HORN
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:187 N CHURCH ST APT 603
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306-5115
Mailing Address - Country:US
Mailing Address - Phone:540-529-7498
Mailing Address - Fax:
Practice Address - Street 1:811 E MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-2004
Practice Address - Country:US
Practice Address - Phone:540-529-7498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8338106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist