MEDICARE: NAVIGATION THERAPY PLLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1518676030
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NAVIGATION THERAPY PLLC

Provider Business Mailing Address
First Line	:	221 GARLAND ST STE J
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2372
Country	:	US
Telephone Number	:	231-261-1819
Fax Number	:	231-261-7776

Provider Business Practice Location Address
First Line	:	221 GARLAND ST STE J
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2372
Country	:	US
Telephone Number	:	231-261-1819
Fax Number	:	231-216-7776

Authorized Official
Title or Position	:	SOCIAL WORKER
Name	:	BRENDAN ODONNEL
Credential	:
Telephone Number	:	231-486-5411

Provider Enumeration Date	:	11/23/2022
Last Update Date	:	05/16/2026

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