Provider Demographics
NPI:1366717001
Name:MV NAVIGATION
Entity type:Organization
Organization Name:MV NAVIGATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:VOEGTLE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-309-1013
Mailing Address - Street 1:2 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2909
Mailing Address - Country:US
Mailing Address - Phone:860-309-1013
Mailing Address - Fax:
Practice Address - Street 1:2 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2909
Practice Address - Country:US
Practice Address - Phone:860-309-1013
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty