Healthcare Provider Details

I. General information

NPI: 1033509112
Provider Name (Legal Business Name): ALANA DAVIS LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2015
Last Update Date: 03/15/2021
Certification Date: 03/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22390 W 7 MILE RD
DETROIT MI
48219-1849
US

IV. Provider business mailing address

1 FORD PL
DETROIT MI
48202-3450
US

V. Phone/Fax

Practice location:
  • Phone: 313-387-6000
  • Fax: 313-387-0760
Mailing address:
  • Phone: 313-874-6677
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801092434
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: