Provider Demographics
NPI:1528430808
Name:YENGLIN, NATALIE ANNA (LPC)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:ANNA
Last Name:YENGLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1695 OMER DR
Mailing Address - Street 2:
Mailing Address - City:SAINT HELEN
Mailing Address - State:MI
Mailing Address - Zip Code:48656-9418
Mailing Address - Country:US
Mailing Address - Phone:520-396-8376
Mailing Address - Fax:
Practice Address - Street 1:1695 OMER DR
Practice Address - Street 2:
Practice Address - City:SAINT HELEN
Practice Address - State:MI
Practice Address - Zip Code:48656-9418
Practice Address - Country:US
Practice Address - Phone:520-396-8376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-26
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223738101YP2500X
AZLPC-15472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional