MEDICARE: DR. MALINDA DAVENPORT-CRISP PHD, LPC/MHSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	2835	TN

General Provider Information

NPI Number	:	1073921656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MALINDA DAVENPORT-CRISP PHD, LPC/MHSP

Provider Business Mailing Address
First Line	:	417 WELSHWOOD DR STE 303
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-4248
Country	:	US
Telephone Number	:	615-554-5075
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 WELSHWOOD DR STE 303
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-4248
Country	:	US
Telephone Number	:	615-554-5075
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2014
Last Update Date	:	09/15/2025

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