MEDICARE: SUSANA NAVA MUNOZ MED, LPC

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	101YM0800X	Mental Health Counselor	TPMC5143	FL
2	101YM0800X	Mental Health Counselor	88347	TX

General Provider Information

NPI Number	:	1629789193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANA NAVA MUNOZ MED, LPC

Provider Business Mailing Address
First Line	:	8408 DAVIS BLVD STE 240
Second Line	:
City	:	NORTH RICHLAND HILLS
State	:	TX
Zip	:	76182-8610
Country	:	US
Telephone Number	:	817-765-5664
Fax Number	:	817-918-7307

Provider Business Practice Location Address
First Line	:	3900 MERRETT DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76135-2920
Country	:	US
Telephone Number	:	817-381-5084
Fax Number	:

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

Provider Enumeration Date	:	12/06/2022
Last Update Date	:	09/03/2025

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