Healthcare Provider Details

I. General information

NPI: 1164063301
Provider Name (Legal Business Name): NAVIN & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2019
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 E CHURCHVILLE RD # 204205
BEL AIR MD
21014-3406
US

IV. Provider business mailing address

1114 RUNNYMEDE LN
BEL AIR MD
21014-2505
US

V. Phone/Fax

Practice location:
  • Phone: 410-752-3878
  • Fax:
Mailing address:
  • Phone: 410-838-0687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. JACQUELINE NAVIN
Title or Position: DIRECTOR AND PRESIDENT
Credential: PH.D.
Phone: 410-838-0687