Provider Demographics
NPI:1336641984
Name:NAVA, ALAN WAYNE (LPC)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:WAYNE
Last Name:NAVA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 CROCKER WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-1409
Mailing Address - Country:US
Mailing Address - Phone:770-856-8882
Mailing Address - Fax:
Practice Address - Street 1:153 CROCKER WAY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-1409
Practice Address - Country:US
Practice Address - Phone:770-856-8882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC-005381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional