MEDICARE: JAYME LYNNE 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	101YP2500X	Professional Counselor	LPC20520	SD

General Provider Information

NPI Number	:	1821638743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYME LYNNE DAVIS LPC

Provider Business Mailing Address
First Line	:	PO BOX 344
Second Line	:
City	:	PIEDMONT
State	:	SD
Zip	:	57769-0344
Country	:	US
Telephone Number	:	605-349-3162
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 E SAINT JOSEPH ST
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57701-3901
Country	:	US
Telephone Number	:	605-349-3162
Fax Number	:

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

Provider Enumeration Date	:	01/08/2020
Last Update Date	:	12/08/2025

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