Provider Demographics
NPI:1487344727
Name:NATAL, JOSELY SR (BBA, MSW)
Entity type:Individual
Prefix:
First Name:JOSELY
Middle Name:
Last Name:NATAL
Suffix:SR
Gender:F
Credentials:BBA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:856 E FLAG LN
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-3321
Mailing Address - Country:US
Mailing Address - Phone:407-690-9662
Mailing Address - Fax:
Practice Address - Street 1:856 E FLAG LN
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-3321
Practice Address - Country:US
Practice Address - Phone:407-690-9662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-10
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical