Provider Demographics
NPI:1508666991
Name:NARVAEZ, IVELISSE (CMHC)
Entity type:Individual
Prefix:MS
First Name:IVELISSE
Middle Name:
Last Name:NARVAEZ
Suffix:
Gender:
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:454 WEDGEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-5032
Mailing Address - Country:US
Mailing Address - Phone:910-587-7574
Mailing Address - Fax:
Practice Address - Street 1:218 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-3204
Practice Address - Country:US
Practice Address - Phone:910-723-5944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health