DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MISS SHANESHA DAVIS BA

MEDICARE: MISS SHANESHA DAVIS BA
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 Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1D120765765972OTHERMABA

General Provider Information

NPI Number : 1790906931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHANESHA DAVIS BA
Provider Business Mailing Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number : 313-921-4125
Provider Business Practice Location Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number : 313-921-4125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

1457602500 — MRS. TERRILYNNE GAUSE MSW
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 313-921-4700
Practice Fax:
1255293817 — CEMIYAH COLEMAN
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 313-480-0838
Practice Fax:
1427173558 — MRS. SHIRLEY ANN FRANCIS LMSW
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 248-386-0823
Practice Fax:
1750408662 — MICHEL RASHAD LMSW, MSW
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 313-421-1015
Practice Fax:
1861602286 — KAREN ELENA BLACK RN
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 313-424-0390
Practice Fax:
1033349949 — MR. ARTHUR L WEBSTER CAC-M
Practice Location Address:
6309 MACK AVE
DETROIT, MI
48207-2302
Practice Phone: 313-921-4700
Practice Fax: 313-921-2118

Directions to “ MISS SHANESHA DAVIS BA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.