Provider Demographics
NPI:1194181487
Name:NAVIA, CAROLINE (LMBT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:NAVIA
Suffix:
Gender:F
Credentials:LMBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 FOREST WIND WAY
Mailing Address - Street 2:APT 327
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-9721
Mailing Address - Country:US
Mailing Address - Phone:919-869-0316
Mailing Address - Fax:
Practice Address - Street 1:1152 EXECUTIVE CIR
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4578
Practice Address - Country:US
Practice Address - Phone:919-869-0316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-03
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12089225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist