Healthcare Provider Details
I. General information
NPI: 1841089208
Provider Name (Legal Business Name): NAVA COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1101 SW 11TH AVE
CAPE CORAL FL
33991-2651
US
IV. Provider business mailing address
1101 SW 11TH AVE
CAPE CORAL FL
33991-2651
US
V. Phone/Fax
- Phone: 305-335-0702
- Fax:
- Phone: 305-335-0702
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0855X |
| Taxonomy | Adolescent and Children Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
LUIS
NAVARRETE
Title or Position: OWNER
Credential: LMHC
Phone: 305-335-0702