Provider Demographics
NPI:1417246497
Name:NAVIN, LAURIE ANN (PCC)
Entity Type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:NAVIN
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6264 S SUNBURY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2692
Mailing Address - Country:US
Mailing Address - Phone:513-331-7829
Mailing Address - Fax:877-894-5305
Practice Address - Street 1:6264 S SUNBURY RD
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2692
Practice Address - Country:US
Practice Address - Phone:513-331-7829
Practice Address - Fax:877-894-5305
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-30
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE7690101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional