Healthcare Provider Details

I. General information

NPI: 1003565359
Provider Name (Legal Business Name): BRITTANY MARIE DAVIS LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 PORTLAND ST
DELTONA FL
32725-7324
US

IV. Provider business mailing address

1025 PORTLAND ST
DELTONA FL
32725-7324
US

V. Phone/Fax

Practice location:
  • Phone: 636-541-6515
  • Fax:
Mailing address:
  • Phone: 636-541-6515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4599
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0022357
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21297
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01039500
License Number StateNJ
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number14270627-6004
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: