Provider Demographics
NPI:1861108136
Name:NAVIGATING YOUR WELLNESS
Entity type:Organization
Organization Name:NAVIGATING YOUR WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESTA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:781-354-9916
Mailing Address - Street 1:20 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:REVERE
Mailing Address - State:MA
Mailing Address - Zip Code:02151-2967
Mailing Address - Country:US
Mailing Address - Phone:781-354-9916
Mailing Address - Fax:
Practice Address - Street 1:20 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-2967
Practice Address - Country:US
Practice Address - Phone:781-354-9916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty