Healthcare Provider Details

I. General information

NPI: 1285539387
Provider Name (Legal Business Name): TONYA MARIE DAVIS TLMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 6TH ST SW
MASON CITY IA
50401-4820
US

IV. Provider business mailing address

411 CENTRAL AVE
NORTHWOOD IA
50459-1511
US

V. Phone/Fax

Practice location:
  • Phone: 641-423-4180
  • Fax: 641-421-6023
Mailing address:
  • Phone: 641-423-4180
  • Fax: 641-421-6023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number132212
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: