Provider Demographics
NPI:1609441377
Name:O'DAY-NAVIS, CHELSEA (MA, LPC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:O'DAY-NAVIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:O'DAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:632 FULTON ST W
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5313
Mailing Address - Country:US
Mailing Address - Phone:616-803-8889
Mailing Address - Fax:
Practice Address - Street 1:632 FULTON ST W
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-5313
Practice Address - Country:US
Practice Address - Phone:616-803-8889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401019209101YP2500X
MI6401222282101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI853809262OtherOUT OF NETWORK