Provider Demographics
NPI:1477958064
Name:NOVAK, NANCY F (LMHC RPT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:F
Last Name:NOVAK
Suffix:
Gender:F
Credentials:LMHC RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 SPRINGDALE CIR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33461-6332
Mailing Address - Country:US
Mailing Address - Phone:561-704-3998
Mailing Address - Fax:
Practice Address - Street 1:7731 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-7430
Practice Address - Country:US
Practice Address - Phone:561-244-9499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10769101YM0800X
FLLMHC10769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health