Provider Demographics
NPI:1467018689
Name:NAVYAC, STEPHEN GERARD (LMFT)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:GERARD
Last Name:NAVYAC
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1919 19TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-3805
Mailing Address - Country:US
Mailing Address - Phone:615-300-0883
Mailing Address - Fax:
Practice Address - Street 1:1919 19TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-3805
Practice Address - Country:US
Practice Address - Phone:615-300-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-13
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN818106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist