Provider Demographics
NPI:1144863796
Name:ELIAS NARVAEZ, MYRNA (LPC)
Entity type:Individual
Prefix:
First Name:MYRNA
Middle Name:
Last Name:ELIAS NARVAEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1726
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-1726
Mailing Address - Country:US
Mailing Address - Phone:939-904-6066
Mailing Address - Fax:
Practice Address - Street 1:CARR 613 KM 5.2 INTERIOR
Practice Address - Street 2:TETUAN
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641-1726
Practice Address - Country:US
Practice Address - Phone:939-904-6066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-25
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4328101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional