MEDICARE: MRS. INGRID NAVIA JONES LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH10957	FL

General Provider Information

NPI Number	:	1386921278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. INGRID NAVIA JONES LMHC

Provider Business Mailing Address
First Line	:	5905 MANCHESTER WAY
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-4190
Country	:	US
Telephone Number	:	954-214-7986
Fax Number	:

Provider Business Practice Location Address
First Line	:	2901 W CYPRESS CREEK RD
Second Line	:	SUITE 114
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33309-1730
Country	:	US
Telephone Number	:	954-876-8001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2011
Last Update Date	:	11/07/2011

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