MEDICARE: MS. TAMIKA MARIA DAVIS MA, LPC, NCC, CCTP

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	93342	TX
2	101YP2500X	Professional Counselor	LPC7992	LA

General Provider Information

NPI Number	:	1558918714
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. TAMIKA MARIA DAVIS MA, LPC, NCC, CCTP

Provider Business Mailing Address
First Line	:	2111 OCTAVIA DR
Second Line	:
City	:	CHALMETTE
State	:	LA
Zip	:	70043-5322
Country	:	US
Telephone Number	:	504-908-5607
Fax Number	:

Provider Business Practice Location Address
First Line	:	2111 OCTAVIA DR
Second Line	:
City	:	CHALMETTE
State	:	LA
Zip	:	70043-5322
Country	:	US
Telephone Number	:	504-908-5607
Fax Number	:

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

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	03/04/2026

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