Healthcare Provider Details

I. General information

NPI: 1578773859
Provider Name (Legal Business Name): JEFFERY W. NAVE PH.D., LPC, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65068 HOLMES ST
PEARL RIVER LA
70452-5110
US

IV. Provider business mailing address

65068 HOLMES ST
PEARL RIVER LA
70452-5110
US

V. Phone/Fax

Practice location:
  • Phone: 985-774-6466
  • Fax:
Mailing address:
  • Phone: 985-774-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2183
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number389
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: