Provider Demographics
NPI:1760856900
Name:NAVIGATING LIFE
Entity Type:Organization
Organization Name:NAVIGATING LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:DYAS
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW,LPC,MA
Authorized Official - Phone:313-570-9352
Mailing Address - Street 1:48449 BEAVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-3373
Mailing Address - Country:US
Mailing Address - Phone:313-570-9352
Mailing Address - Fax:
Practice Address - Street 1:48449 BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-3373
Practice Address - Country:US
Practice Address - Phone:313-570-9352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-28
Last Update Date:2015-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013818101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty