Healthcare Provider Details

I. General information

NPI: 1265340475
Provider Name (Legal Business Name): DAVIS SHRYER DBA ACCEPTANCE MATTERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 5TH ST E
SAINT PAUL MN
55101-1994
US

IV. Provider business mailing address

195 5TH ST E APT 1408
SAINT PAUL MN
55101-2965
US

V. Phone/Fax

Practice location:
  • Phone: 612-240-5215
  • Fax:
Mailing address:
  • Phone: 651-308-5540
  • Fax: 651-308-5540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. DAVIS MAXWELL SHRYER III
Title or Position: OPERATOR
Credential: MA
Phone: 651-308-5540