Healthcare Provider Details

I. General information

NPI: 1033047618
Provider Name (Legal Business Name): DAVIS THE COLLECTIVE , L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442 CEDARCROFT RD
BALTIMORE MD
21239-2003
US

IV. Provider business mailing address

1442 CEDARCROFT RD
BALTIMORE MD
21239-2003
US

V. Phone/Fax

Practice location:
  • Phone: 410-900-3429
  • Fax:
Mailing address:
  • Phone: 410-900-3429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KYRA CRAFTON
Title or Position: FOUNDER
Credential: LCSW-C
Phone: 410-900-3429