MEDICARE: MS. TRISHA ELAINE NAVA MA LPC BSN RN

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	101YP2500X	Professional Counselor	3081	OK
2	163W00000X	Registered Nurse	825401	TX
3	163W00000X	Registered Nurse	768414	CA
4	101YP2500X	Professional Counselor	LPC96975	TX

General Provider Information

NPI Number	:	1184710337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TRISHA ELAINE NAVA MA LPC BSN RN

Provider Business Mailing Address
First Line	:	125 CHICAGO AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-1605
Country	:	US
Telephone Number	:	806-318-0885
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 CHICAGO AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-1605
Country	:	US
Telephone Number	:	806-318-0885
Fax Number	:

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

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	12/23/2024

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