Provider Demographics
NPI:1689073074
Name:NAVARRO, MARILU
Entity type:Individual
Prefix:
First Name:MARILU
Middle Name:
Last Name:NAVARRO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:589 N FM 1626 STE 306
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3861
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:589 N FM 1626 STE 306
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-3861
Practice Address - Country:US
Practice Address - Phone:949-777-5231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-21
Last Update Date:2025-03-25
Deactivation Date:2025-03-05
Deactivation Code:
Reactivation Date:2025-03-25
Provider Licenses
StateLicense IDTaxonomies
TX205901106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist