MEDICARE: ASHLEE DAVIS LPC

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	101YM0800X	Mental Health Counselor	C6351	OR

General Provider Information

NPI Number	:	1407510555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEE DAVIS LPC

Provider Business Mailing Address
First Line	:	1133 NW WALL ST
Second Line	:	EXECUTIVE SUITE
City	:	BEND
State	:	OR
Zip	:	97703-1962
Country	:	US
Telephone Number	:	541-801-7743
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 NW WALL ST
Second Line	:	EXECUTIVE SUITE
City	:	BEND
State	:	OR
Zip	:	97703-1962
Country	:	US
Telephone Number	:	541-801-7743
Fax Number	:

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

Provider Enumeration Date	:	10/25/2021
Last Update Date	:	02/03/2026

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Directions to “ ASHLEE DAVIS LPC” Practice Location

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