MEDICARE: DR. PATRICK JOSEPH NAVE 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	101Y00000X	Counselor	MH10014	FL
2	101YM0800X	Mental Health Counselor	LH00007699	WA

General Provider Information

NPI Number	:	1225237787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK JOSEPH NAVE LMHC

Provider Business Mailing Address
First Line	:	PO BOX 471484
Second Line	:
City	:	LAKE MONROE
State	:	FL
Zip	:	32747-1484
Country	:	US
Telephone Number	:	407-739-3846
Fax Number	:	321-249-0222

Provider Business Practice Location Address
First Line	:	1349 S INTERNATIONAL PKWY
Second Line	:	SUITE 2421
City	:	LAKE MARY
State	:	FL
Zip	:	32746-1697
Country	:	US
Telephone Number	:	407-739-3846
Fax Number	:	321-249-0222

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

Provider Enumeration Date	:	07/15/2007
Last Update Date	:	02/16/2015

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