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NPI Code Detail

MEDICARE: EDWARD DAVIS COUNSELING, LLC

MEDICARE: EDWARD DAVIS COUNSELING, LLC
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 Counselor

General Provider Information

NPI Number : 1942042114
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARD DAVIS COUNSELING, LLC
Provider Business Mailing Address
First Line : PO BOX 34
Second Line :
City : YOUNGSVILLE
State : PA
Zip : 16371-0034
Country : US
Telephone Number : 986-895-4507
Fax Number :
Provider Business Practice Location Address
First Line : 1500 S WASHINGTON AVE STE C5
Second Line :
City : EMMETT
State : ID
Zip : 83617-2401
Country : US
Telephone Number : 986-895-4507
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD DAVIS
Credential : LPC
Telephone Number : 986-895-4507
Provider Enumeration Date : 06/10/2024
Last Update Date : 01/20/2026

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