Provider Demographics
NPI:1710161633
Name:NAVEY, LARRY DEAN (LCPC)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:DEAN
Last Name:NAVEY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13242 SOUTH ROUTE 59
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5428
Mailing Address - Country:US
Mailing Address - Phone:815-577-8970
Mailing Address - Fax:
Practice Address - Street 1:13242 SOUTH ROUTE 59
Practice Address - Street 2:SUITE 104
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5428
Practice Address - Country:US
Practice Address - Phone:815-577-8970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-27
Last Update Date:2007-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional