Provider Demographics
NPI:1225441488
Name:HEALTH MAZE NAVIGATOR FAMILY COUNSELING INC
Entity Type:Organization
Organization Name:HEALTH MAZE NAVIGATOR FAMILY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:METOLIUS
Authorized Official - Suffix:
Authorized Official - Credentials:MFT
Authorized Official - Phone:415-209-9991
Mailing Address - Street 1:2680 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94947-1942
Mailing Address - Country:US
Mailing Address - Phone:415-209-9991
Mailing Address - Fax:
Practice Address - Street 1:2680 CENTER RD
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94947-1942
Practice Address - Country:US
Practice Address - Phone:415-209-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT11981101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty