Healthcare Provider Details

I. General information

NPI: 1619690211
Provider Name (Legal Business Name): MARGARET DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 N EAST AVE STE 103
FAYETTEVILLE AR
72701-5226
US

IV. Provider business mailing address

221 N EAST AVE # 103
FAYETTEVILLE AR
72701-5226
US

V. Phone/Fax

Practice location:
  • Phone: 970-286-7341
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: