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NPI Code Detail

MEDICARE: CARLA DAVIS LMHC, CAP

MEDICARE: CARLA DAVIS LMHC, CAP
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
1101YM0800XMental Health CounselorLMHC13278MA
2101YM0800XMental Health CounselorMH11308FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MH11308OTHERFLDEPARTMENT OF HEALTH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194915827
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA DAVIS LMHC, CAP
Provider Business Mailing Address
First Line : 4740 N STATE ROAD 7 STE 201
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33319-5839
Country : US
Telephone Number : 954-486-4005
Fax Number : 954-497-3857
Provider Business Practice Location Address
First Line : 2900 W PROSPECT RD
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2519
Country : US
Telephone Number : 954-731-5100
Fax Number : 954-497-3857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 02/10/2026

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Directions to “ CARLA DAVIS LMHC, CAP” Practice Location

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