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NPI Code Detail

MEDICARE: DR. CAROLYN DAVIS PH.D.

MEDICARE: DR. CAROLYN DAVIS PH.D.
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 Counselor03222TN
2101YP2500XProfessional Counselor03222TN

General Provider Information

NPI Number : 1346108768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN DAVIS PH.D.
Provider Business Mailing Address
First Line : 1012 GLENBROOK WAY # 1130
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-1230
Country : US
Telephone Number : 615-339-5916
Fax Number :
Provider Business Practice Location Address
First Line : 1012 GLENBROOK WAY # 1130
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-1230
Country : US
Telephone Number : 615-339-5916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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