Provider Demographics
NPI:1184710337
Name:NAVA, TRISHA ELAINE (MA LPC BSN RN)
Entity type:Individual
Prefix:MS
First Name:TRISHA
Middle Name:ELAINE
Last Name:NAVA
Suffix:
Gender:F
Credentials:MA LPC BSN RN
Other - Prefix:
Other - First Name:TRISHA
Other - Middle Name:ELAINE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA LPC
Mailing Address - Street 1:125 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-1605
Mailing Address - Country:US
Mailing Address - Phone:806-318-0885
Mailing Address - Fax:
Practice Address - Street 1:125 CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-1605
Practice Address - Country:US
Practice Address - Phone:806-318-0885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3081101YP2500X
TX825401163W00000X
CA768414163W00000X
TXLPC96975101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse