Provider Demographics
NPI:1659144004
Name:NAVI COUNSELING PLLC
Entity Type:Organization
Organization Name:NAVI COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAXWELL
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:224-381-2440
Mailing Address - Street 1:640 W WAVELAND AVE APT 4D
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-4242
Mailing Address - Country:US
Mailing Address - Phone:224-381-2440
Mailing Address - Fax:
Practice Address - Street 1:640 W WAVELAND AVE APT 4D
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-4242
Practice Address - Country:US
Practice Address - Phone:224-381-2440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty