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NPI Code Detail

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

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
1101YP2500XProfessional Counselor93342TX
2171M00000XCase Manager/Care Coordinator
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4101YP2500XProfessional CounselorLPC7992LA
5101YA0400XAddiction (Substance Use Disorder) Counselor

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 : 1901 MANHATTAN BLVD BLDG D
Second Line :
City : HARVEY
State : LA
Zip : 70058-3583
Country : US
Telephone Number : 504-908-5607
Fax Number :
Provider Business Practice Location Address
First Line : 1901 MANHATTAN BLVD BLDG D
Second Line :
City : HARVEY
State : LA
Zip : 70058-3583
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 : 01/17/2024

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