Healthcare Provider Details

I. General information

NPI: 1700791852
Provider Name (Legal Business Name): CLE'ARRIE DAVIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11425 MOORPARK ST
STUDIO CITY CA
91602-2009
US

IV. Provider business mailing address

1738 CANYON DR APT 202
LOS ANGELES CA
90028-5636
US

V. Phone/Fax

Practice location:
  • Phone: 310-920-8544
  • Fax:
Mailing address:
  • Phone: 323-479-4115
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: