Provider Demographics
NPI:1871217810
Name:THE NAVIGATION ROOM PLLC
Entity type:Organization
Organization Name:THE NAVIGATION ROOM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COFFELT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:281-678-6670
Mailing Address - Street 1:2 SHEEP MEADOW PL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3240
Mailing Address - Country:US
Mailing Address - Phone:171-330-5533
Mailing Address - Fax:
Practice Address - Street 1:200 VALLEY WOOD DR STE B300
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-5410
Practice Address - Country:US
Practice Address - Phone:281-678-6670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX66643Medicaid